Keeping clients up-to-date and compliant with constantly changing regulations is a core focus of our healthcare attorneys. We advise healthcare providers, physician groups, and managed care clients on the full range of regulatory compliance and enforcement including:
- Compliance plan designs, implementation, and audits
- Department of insurance audits
- Fraud, abuse, and false claims
- Health Insurance Portability and Accountability Act (HIPAA)
- Medicare and Medicaid compliance and reimbursement
- Physician self-referral, Stark, and Anti-Kickback laws
- Whistleblower lawsuits
Prevent and Protect
We are current, cautious, and creative in our counsel and offer analytical interpretations and innovative guidance on federal and state rules, statutes, and requirements.
Clients often call us for on-the-spot advice connected to unscheduled inspections or survey visits. Of equal importance is our preventive strategic counsel to physician practice groups and institutions in avoiding violations of Stark and Anti-Kickback laws.
We also seek better, and at times non-traditional, approaches to regulatory challenges to help our clients avoid sanctions. Our team helps clients merge compliant behavior with strong internal management to ensure that healthcare institutions and organizations function smoothly and remain in compliance.
Our attorneys routinely appear before, and have longstanding relationships with, a wide array of federal and state healthcare authorities, including departments of health, hospitals, state boards of medical examiners, pharmacy boards, chiropractor boards, departments of insurance, Centers for Medicare and Medicaid Services, Department of Health and Human Services, Office of Inspector General, the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), and the Provider Reimbursement Review Board (PRRB).