Health Law Services

Health Care Practice Areas

We provide local counsel services in collaboration with in-house or external legal teams, ensuring that our clients receive seamless support and guidance throughout their legal matters. Additionally our attorneys work closely with providers’ local counsel to offer specialized consultation on complex issues involving federal law, including Medicare, Medicaid, HIPAA, and other regulatory frameworks. This collaborative approach enables us to deliver expert advice and strategic counsel that supports our clients’ operational and compliance needs in a rapidly evolving healthcare landscape.

Specialized Niche Health Law Services

We also provide focused counsel in specialized niche areas that require careful coordination of business objectives, reimbursement rules, licensing obligations, and federal and state compliance requirements. These services are designed for providers, physician groups, investors, and healthcare entrepreneurs navigating innovative or highly regulated practice models.

Telehealth law and compliance: advising on telehealth program design, professional licensure, patient consent, prescribing rules, privacy and security obligations, reimbursement considerations, documentation standards, and multi-state virtual care compliance. [See More]

Ambulatory surgery center physician ownership and compliance: advising on physician investment, ownership structures, buy-in and redemption arrangements, anti-kickback considerations, Stark Law issues, fair market value analysis, governing documents, and ongoing operational compliance for ambulatory surgery centers. [See More]

Concierge and cash-based medical practices: assisting physicians and healthcare organizations with the development and implementation of concierge, direct-pay, membership-based, and cash-based practice models, including patient agreements, fee structure analysis, payer considerations, advertising review, and state law compliance. [See More]

Physician Medicare opt-out decisions and compliance: counseling physicians and practices on whether and how to opt out of Medicare, including private contracting requirements, affidavit filings, patient disclosures, renewal obligations, billing restrictions, and operational workflows to reduce regulatory risk. [See More]

Physician Practices and Provider Organizations

• Representation of physicians, physician groups, and provider organizations
• Group practice structuring, governance, and operations
• Single-specialty and multi-specialty group practices
• Independent practice associations and physician-hospital organizations
• Physician autonomy, corporate practice of medicine, and provider-based relationship issues

Business Structures, Transactions, and Affiliations

• Health care business structures and corporate law for physician practices
• Practice mergers, acquisitions, affiliations, and strategic partnerships
• Health care system and hospital, facility, and provider acquisitions and sales
• Joint ventures, management service organizations, and practice management companies
• Financing transactions, venture capital, debt and equity financings, and public financings
• Medical office building acquisition, development, leasing, and real estate transactions
• Tax-exempt status, nonprofit medical foundations, and for-profit/nonprofit tax planning

Provider Relationships, Compensation, and Contracting

• Provider employment, recruitment, shareholder, consulting, and independent contractor agreements
• Physician compensation, provider compensation plans, retention payments, and quality/outcomes-based compensation
• Medical director, call coverage, coverage, professional services, service line, and hospital-based physician agreements
• Office sharing, management, ancillary services, pharmacy services, residency, and PA delegation agreements
• Managed care contracting, provider contracting, contract interpretation, and contract disputes
• Business associate agreements, EHR agreements, licensing agreements, and data use agreements

Compliance, Fraud and Abuse, and Government Enforcement

• Fraud and abuse counseling, risk assessment, and regulatory analysis
• Anti-Kickback Statute, Stark Law, self-referral, and fraud and abuse compliance
• False Claims Act defense, civil monetary penalty defense, and overpayment defense
• Government investigations, audits, subpoenas, information requests, and enforcement proceedings
• Self-disclosures, voluntary disclosures, corporate integrity agreements, and pre-closing disclosure issues
• Federal and state fraud and abuse allegations, upcoding, DRG creep, and reimbursement-related investigations

Health Care Compliance Programs

• Compliance program design, implementation, evaluation, and enhancement
• Compliance policies, procedures, standards of conduct, and board governance support
• Advising boards and board committees on compliance oversight responsibilities, fiduciary duties, reporting obligations, and governance best practices
• Compliance officer, committee, hotline, reporting channel, and escalation structure development
• Employee, provider, leadership, board, and vendor compliance training and education
• Internal monitoring, auditing, risk assessments, work plans, gap analyses, and effectiveness reviews
• Internal investigations, privileged fact development, corrective action plans, and remediation support
• Billing, coding, documentation, medical necessity, enrollment, reimbursement, and claims compliance reviews
• Stark Law, Anti-Kickback Statute, False Claims Act, Civil Monetary Penalties Law, exclusion, and beneficiary inducement compliance
• Overpayment analysis, refund strategy, repayment obligations, and voluntary disclosure support
• Self-disclosures to federal or state agencies and preparation for government audits, subpoenas, and information requests
• Corporate integrity agreement readiness, implementation, monitoring, reporting, and board certification support
• Third-party due diligence, vendor oversight, transaction compliance review, and post-closing compliance integration
• Privacy, security, breach response, and health information compliance coordination
• Ongoing compliance counseling, regulatory updates, operational advice, and risk mitigation strategies

Regulatory, Licensure, Accreditation, and Reimbursement

• Facility and program licensure, certification, accreditation, and changes of ownership
• Medicare and Medicaid payment, coverage, reimbursement, certification, and audits
• Provider enrollment, credentialing, medical staff bylaws, privileges, peer review, and disputes
• Joint Commission compliance, CLIA licensing, biologics licensing, and clinical trial compliance
• Regulatory interpretation, advocacy, legislative policy, health care reform, and access to records
• Formation and licensure of provider-based health plans and accountable care organizations

Clinical Operations, Patient Care, and Provider Services

• Concierge and cash-based clinic structure and compliance
• Ambulatory surgery center ownership, certification, and compliance
• In-office ancillary services, under-arrangement transactions, and incident-to billing
• Hospital service management, integrated delivery systems, and clinical integration mechanisms
• Consent, treatment decisions, discharge issues, and standard-of-care matters
• Medical records, confidentiality, patient information privacy, and HIPAA compliance

Health Care Technology, Data, and Privacy

• Health care technology integration, implementation, licensing, and contracting
• Electronic health records, electronic medical records, meaningful use, and system maintenance agreements
• Health care software licensing, hardware acquisition, open-source systems, and technology vendor relationships
• Data use, privacy, security, licensing, breaches, and patient information protection
• Telehealth and telemedicine program development, implementation, and compliance
• Health technology companies, life sciences, pharmaceuticals, and strategic technology partnerships

Health Information Privacy and Security

• HIPAA privacy, security, breach notification, and health information governance
• Patient information privacy, confidentiality, access, use, disclosure, and authorization requirements
• Federal treatment program privacy standards, including substance use disorder patient record protections under 42 CFR Part 2
• Business associate agreements, qualified service organization arrangements, data use agreements, and information-sharing controls
• Privacy and security policies, procedures, training, investigations, audits, and corrective action plans
• Cybersecurity, incident response, breach reporting, and risk management for health care organizations

Managed Care, Payor Relationships, and Reimbursement Disputes

• Managed care relationships, contracting, negotiation, arbitration, mediation, and litigation
• Disputes with health plans, insurers, preferred provider organizations, IPAs, and medical groups
• Nonpayment, underpayment, alleged overpayments, claims collections, risk pool disputes, and payment appeals
• Medicare and Medicaid reimbursement issues, shared savings programs, hospital incentive programs, and drug pricing

Litigation Support for Disputes, and Administrative Proceedings

• Commercial, contract, partnership, corporate, joint venture, and provider-vendor disputes
• Antitrust, unfair competition, trade secret, intellectual property, and director/officer liability claims
• Managed care litigation, employment litigation, real property litigation, insurance coverage disputes, and civil rights matters
• Medical staff investigations, peer review hearings, database reporting, and privileging disputes
• Administrative proceedings, appeals, mediation, arbitration, and negotiation

Long-Term Care, Behavioral Health, and Community-Based Care

• Long-term care, skilled nursing, assisted living, and residential care facilities
• Psychiatric hospitals, psychiatric units, behavioral health clinics, community mental health centers, and mental health rehabilitation centers
• Licensing, certification, decertification, reimbursement, regulatory compliance, and governmental investigations
• Compliance plans, risk management, labor and employment, managed care relationships, and strategic planning
• Consent, confidentiality, standard-of-care, social service agency, and practitioner matters