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Carolyn Lloyd Coward


Direct line: (828) 771-2506
Fax: (828) 255-0255
Email: ccoward@vwlawfirm.com


University of North Carolina
J.D., 1999

University of Tennessee
B.S., 1974

Meet Carolyn

Concentrating in health care and labor and employment law, Carolyn advises physicians, hospitals, long-term facilities and other health care entities, on federal and state regulatory issues, fraud and abuse statutes, physician self-referral laws (Stark), HIPAA, structuring business ventures in compliance with government regulations, Medicare/Medicaid reimbursement and compliance program management. She also advises medical centers and government agencies, as well as small family-owned businesses, on general employment matters. 

Carolyn represents health care providers before professional licensing boards and medical staff on peer review matters, reimbursement appeals and business disputes. She advises providers in transactional and operational matters, such as the establishment of physician practices, the development of employment and shareholder agreements and the structuring of compensation arrangements.

Practice Highlights

  • Unwound three major medical practices and successfully negotiated terms without litigation or alternative dispute resolution and no interruption of practice business.
  • Represented a physician practice in a reimbursement issue with Medicare in which the practice was allowed to retain $100,000 in contested fees.
  • Regularly represents providers in Medicare appeals and recently successfully argued an appeal before the ALJ that allowed the provider to recoup over $100,000.
  • Successfully structured business ventures between hospitals and physicians in compliance with fraud and abuse, physician self-referral and tax-exempt laws.
  • Successfully defended a local hospital in U.S. District Court in a multi-million dollar claim commenced by a surgeon as a result of his medical privileges being summarily suspended at the recommendation of the hospital’s medical staff. The action asserted claims for deprivation of due process, freedom of speech, breach of contract, slander and contract interference.


  • Panelist, "Health Care Risk, What you better know!," The Risk Management Association, 2013
  • Speaker, “Physician Alignment – a New Era” and “Physician Compensation – The Nuts and Bolts,” NCACPA Healthcare Industry Conference, Greensboro, N.C., 2013
  • Speaker, “Cutting Through the Confusion: Health Care Reform & The Impact on Your Business,” BB&T Spring Benefits Seminar, 2013
  • Panelist, Henderson County Partnership for Economic Development – 2013 Industrial Executive Forum, 2013
  • Speaker, “Front Page News in Agriculture: E-Verify, Health Care Reform, EEOC,” Various Business Employers, 2013
  • Speaker, “Affordable Care Act 1.0: Tax & Health Care Benefits For Employers,” Various Business Employers, 2013
  • Speaker, “New Omnibus HIPAA Privacy & Security Rule,” Western Carolina Medical Society, 2013
  • Speaker, “Post Election Results: The Future of Health Care Reform,” UNC School of Law Festival of Legal Learning, Chapel Hill, N.C., 2013
  • Speaker, “2013 Employers Survival Guide: Health Care, Indp. Contractors, E-Verify, Guns at Work,” Henderson County Chamber of Commerce, 2013
  • Speaker, “Post-election Impact on the Local Healthcare Community,” Western Carolina Medical Society, 2012
  • Speaker, “Legal” Wellness Programs: The Challenges and Rewards….Financial Health,” ALA Financial Management Conference, Chicago, IL 2012
  • Speaker, “Develop Your Firm’s Wellness Program (Stay Healthy, Stay Happy),” ALA 2012 Annual Conference & Exposition, Honolulu, Hawaii 2012

Professional Affiliations

  • 28th Judicial District Bar
  • North Carolina State Bar
  • North Carolina Bar Association
  • American Health Lawyers Association


  • Business North Carolina Legal Elite, 2009



Direct line: (828) 771-2506
Fax: (828) 255-0255
Email: ccoward@vwlawfirm.com


University of North Carolina
J.D., 1999

University of Tennessee
B.S., 1974

Work with Carolyn

A native of Robbinsville, North Carolina, Carolyn is a graduate of the University of Tennessee in Knoxville, Phi Kappa Phi, and received her law degree from the University of North Carolina Law School at Chapel Hill.

Carolyn is married to Orville D. Coward, Jr., an attorney with Coward, Hicks and Siler, P.A.

Favorite Food

Favorite Artists
WNC artists – Craig Forrest, Roger Stephens

Favorite Music
Bob Dylan

Favorite Book/Author
Any book by Dostoevsky or Tolstoy

Favorite Movie
Any movie by the Coen brothers

Most Recently Visited

Guilty Pleasures
Designing and furnishing interior spaces

Community Involvement

  • Asheville Area Chamber of Commerce
    • Vice Chair, Public Policy
  • Western Carolina University
    • Board of Trustees
  • Crescent Health Solutions, Inc.
    • Chair, Board of Directors
  • Western Carolina Medical Society
    • Development Council
  • UNC Law Alumni Association
    • Board of Directors
  • Smoky Mountain Center
    • Board of Directors