Our firm’s health law practice includes the following areas and issues:
- Compliance with state and federal regulations;
- Healthcare transactions and contracting (e.g., joint venture, management, managed care, physician recruitment, computer, lease, employment, and services agreements);
- Fraud and abuse compliance (i.e., pertaining to illegal remuneration, prohibited self-referrals, corporate practice of medicine, fee splitting, and OIG advisory opinions);
- Serve as ADR neutral at arbitrations and mediations by and among hospitals, health care plans, physicians, physician groups, IPAs, third party payors, and other health care businesses;
- Serve as hearing officer/arbitrator at peer review proceedings/fair hearings in hospitals, health plans and other managed care settings;
- Medical staff and peer review (including counseling clients on matters pertaining to establishing and/or maintaining credentialing and peer review programs, and representing institutions and practitioners in credentialing and disciplinary matters);
- Medicare and Medi-Cal reimbursement and third-party payor issues;
- Sale and purchase of health care businesses and practices;
- Utilization review and quality assurance;
- Assisting health care providers to form and operate new businesses;
- Represent health care providers/institutions before regulatory agencies (including advocacy before in-state and out-of-state licensing and regulatory agencies, local government and the California Legislature);
- Defend against practitioner exclusions and other discipline by Medicare and Medi-Cal Programs and state regulatory agencies;
- Assist health care providers being investigated by federal and state health care regulatory agencies;
- EMTALA defense;
- Represent clients seeking to obtain provider status with private and governmental third party payors;
- Medical record confidentiality (including HIPAA and CMIA) and informed consent;
- Draft admission agreements, consent forms, and operational policies and procedures;
- Facility licensure and accreditation;
- Not-for-profit organizations/tax-exempt issues;
- Civil and administrative litigation relating to disputes between health providers and between providers and regulatory agencies;
- Prepare comprehensive liens for health care facilities to obtain recoveries on their patients’ claims against third-parties, and track such claims on behalf of clients.