Experience with a wide variety of health care matters, including RAC and ZPIC appeals, provider M&A transactions, vendor and employment agreements, DME and clinical laboratory compliance plans, security risk analysis and cybersecurity matters, and federal overpayment analysis.
Advises clients regarding regulatory compliance pertaining to the Anti-Kickback Statute; the Stark laws Civil Monetary Penalties and False Claims statutes; medical device manufacturers and medical device re-manufacturers regarding FDA compliance and 501(k) certification; HIPAA and HITECH Privacy and Security Rule compliance and risk analysis; HIPAA breach notification policy and procedure development; Home Health Agency licensing; and EMTALA guidance.
Experience with Medicare and Medicaid provider enrollment, billing and Medicare secondary payer compliance, Medicare secondary payer issues and requirements in liability settlements, and appeals of Medicare Part B and D denials.
Experience with independent practitioner contract review; corporate compliance program development and implementation; physician hospital integration strategies; pharmacy and laboratory compliance guidance; and managed care contracting guidance and contract review.
Experience revising and drafting close corporation documents for physician practices; revising hospital medical staff bylaws; assisting with the sale and acquisition of medical practices; and advising on IDTF lease and equipment agreements, joint venture creation and unwinding of corporate entities, and physician LLC formation.
Represents and provides valuable counsel to owners, operators, and managers of skilled nursing and assisted living facilities throughout the United States, and has experience developing review mechanisms for nursing home admissions agreements and related arbitration clauses.
Serves as outside general counsel for a nonprofit mental health agency, and was responsible for advising the Board of Directors and the CEO on issues regarding trustee duties and responsibilities, fiscal matters, debt refinancing, corporate compliance, quality improvement, risk management, employment and labor issues, and Board and Committee bylaws.
Facilitated the design and development of ACO structures for applicant hospitals and physician groups.
Experience
Experience with a wide variety of health care matters, including RAC and ZPIC appeals, provider M&A transactions, vendor and employment agreements, DME and clinical laboratory compliance plans, security risk analysis and cybersecurity matters, and federal overpayment analysis.
Advises clients regarding regulatory compliance pertaining to the Anti-Kickback Statute; the Stark laws Civil Monetary Penalties and False Claims statutes; medical device manufacturers and medical device re-manufacturers regarding FDA compliance and 501(k) certification; HIPAA and HITECH Privacy and Security Rule compliance and risk analysis; HIPAA breach notification policy and procedure development; Home Health Agency licensing; and EMTALA guidance.
Experience with Medicare and Medicaid provider enrollment, billing and Medicare secondary payer compliance, Medicare secondary payer issues and requirements in liability settlements, and appeals of Medicare Part B and D denials.
Experience with independent practitioner contract review; corporate compliance program development and implementation; physician hospital integration strategies; pharmacy and laboratory compliance guidance; and managed care contracting guidance and contract review.
Experience revising and drafting close corporation documents for physician practices; revising hospital medical staff bylaws; assisting with the sale and acquisition of medical practices; and advising on IDTF lease and equipment agreements, joint venture creation and unwinding of corporate entities, and physician LLC formation.
Represents and provides valuable counsel to owners, operators, and managers of skilled nursing and assisted living facilities throughout the United States, and has experience developing review mechanisms for nursing home admissions agreements and related arbitration clauses.
Serves as outside general counsel for a nonprofit mental health agency, and was responsible for advising the Board of Directors and the CEO on issues regarding trustee duties and responsibilities, fiscal matters, debt refinancing, corporate compliance, quality improvement, risk management, employment and labor issues, and Board and Committee bylaws.
Facilitated the design and development of ACO structures for applicant hospitals and physician groups.