We assist healthcare providers, from solo practitioners through large hospital systems and multi-state provider practices, with regulatory compliance, HIPAA compliance, Medicaid and Medicare reimbursement issues, federal and state regulatory issues, medical staffing issues, clinical research, negotiating acquisitions, mergers, licensing and managed care arrangements; formation of practices, clinically integrated networks and accountable care organizations, and, when necessary, litigating healthcare disputes, antitrust issues and medical malpractice cases of every kind. We have also assisted many clients with Co-Management Contracts both from the practitioner and hospital perspectives, in both cardiology and gastroenterology. We have developed joint ventures with hospitals and physicians in Louisiana, Kentucky, and Oklahoma. We represent healthcare entities in several states. We have assisted physicians in contracting with hospitals and physician practices. And we frequently represent physicians and nurses who are facing actions by state boards and licensing authorities.
Our lawyers have operational, regulatory, compliance and litigation experience representing healthcare entities and hospitals of varying corporate structures and sizes, managed care organizations, nursing homes, group practices, physicians, nurses, pharmacists, and other individual providers, integrated delivery systems, professional licensure boards and professional societies.
The firm’s healthcare practice experience includes credentialing, peer review, medical staff, medical and healthcare professional licensure, hospital and practitioners/patient communications, advance directives, healthcare decision making, and consents, contracts, Medicare and Medicaid issues (including fraud and abuse and Stark), transactions, mergers and acquisitions, purchase and sale of healthcare entities, government and regulatory compliance, managed care, risk management, joint ventures, certifications and reimbursements, abuse and neglect, confidentiality, medical records, biomedical ethics, operational issues involving policies and procedures, compliance with HIPAA and the OIG and long term care.
Our attorneys also have broad experience in qui tam (whistleblower) lawsuits, both for the plaintiff/relator and for the defendant, disciplinary actions brought by licensing boards, facilities and third party payers; MAC/RAC/PSC and ZPIC audits, Medicaid audits and private insurance audits. We develop corporate compliance plans and programs, provide regulatory and compliance advice, and advice on compliance with both the Stark law and state and federal anti-kickback statutes and regulations. We routinely negotiate arrangements between and among healthcare providers, as well as ancillary service providers, including billing companies.