Julia Krebs-Markrich Photo

Julia is a member of the Life Sciences Health Industry Group, practicing in the area of health care regulatory law with a focus on hospital operational matters, Medicare/Medicaid reimbursement and compliance, physician representation, long-term care, and research misconduct. Her areas of experience include: hospital governance (including preparation, interpretation and enforcement of medical staff bylaws; hospital/medical staff relationships); quality assurance and risk management issues; contracts between hospitals and physicians (including consideration of Medicare/Medicaid fraud and abuse issues, tax-exempt status, and antitrust issues); Medicare/Medicaid reimbursement issues (including appeals of adverse reimbursement determinations and systemic challenges to reimbursement systems); representation of academic faculty practice plans; peer review issues (including medical staff credentialing, hospital disciplinary proceedings, reporting requirements under state and federal law; Medicare sanction matters); medical-ethical issues; institutional review board matters (including structure of IRBs, institutional requirements, informed consent, confidentiality, compliance with federal requirements and drafting of study agreements); research misconduct; patient care issues (including confidentiality of medical information, consent to treatment, HIV-related issues, termination or withdrawal of treatment); EMTALA; long-term care (including Medicare/Medicaid reimbursement issues, licensing issues, compliance, survey and certification); False Claims Act claims and investigations; provider contracts with managed care entities; general physician representation (including licensing and medical staff representation); and regulation of assisted living facilities.


  • University of Richmond School of Law, 1977, J.D., Member of the University of Richmond Law Review
  • Smith College, 1972, B.A.

  • District of Columbia
  • Florida
  • Virginia

Awards & Recognition

  • Recognized by Virginia Business Magazine as Legal Elite for Health Law, 2020 
  • Selected through peer review for inclusion in The Best Lawyers in America© for Health Care Law, 1993-2021
  • Named by Washington, D.C. Super Lawyers and Virginia Super Lawyers as a "Super Lawyer" for her health care practice
  • Listed on Nightingale's Healthcare News list of "Outstanding Hospital Lawyers"
  • Selected by her peers and the publishers of Virginia Business Magazine as one of Virginia's "Legal Elite" attorneys 
  • Awarded the highest "AV®" peer-review rating by the Martindale-Hubbell Law Directory