Physician Group Practices and Management Companies

Arnall Golden Gregory’s Physician Group Practice is specifically dedicated to the unique legal needs of physician practices ranging from solo practices to large, multi-specialty groups. In many instances, the stakeholders are owners of the business and their legal needs encompass a wide-range of general business issues to specific regulatory requirements related to operation, ownership and payment to governance planning and individual professional planning and licensure issues. We also provide guidance in the development and operation of physician practice management companies throughout the nation.

We represent a wide variety of medical groups throughout the nation. The practice has in-depth experience addressing a wide-range of entity-level, internal issues such as physician compensation design, compliance plan development and training, governance issues, shareholder agreements, employment agreements, recruiting agreements, buy-in and buy-out arrangements and day-to-day labor and employment issues such as FMLA, wage and hour disputes, employee discipline and dismissal matters. The Physician Group Practice represents medical practices in State Certificate of Need issues related to the development of new institutional health services, Medicaid and Medicare audits, HIPAA audits and general compliance training. Our attorneys advise medical groups in the course of government investigations and audits of all types, including self-disclosures, repayments, and development of an ongoing compliance with Corporate Integrity Agreements. 

The practice has significant experience with a variety of transactions involving Physician Group Practices, such as sales to or joint ventures with hospitals or health systems; sales to private and publicly traded physician practice management companies; mergers with similar groups, and acquisitions. Our attorneys have extensive experience in structuring such events in compliance with state and federal laws relating to physician-self referral issues, antikickback issues and antitrust issues. Our attorneys also have extensive expertise in counseling physician practice groups on the day-to-day contracts and contract disputes with third-party vendors, including software licensing issues. We counsel and negotiate medical office leases and tenant guarantees common within the industry. Our practice routinely advises medical groups with regard to mid-level clinical supervision requirements and related billing requirements. Our attorneys often counsel medical groups with regard to patient care issues, ADA requirements, and disruptive patient issues.

The Physician Group Practice also has extensive experience in addressing a range of issues affecting the individual physician, such as medical staff applications and disputes, discipline issues, state licensure issues, third-party consulting agreements,  and intellectual property claims and disputes.

In addition to this broad substantive experience, attorneys in the Physician Group Practice have diverse backgrounds and experiences in the healthcare industry, including those who have:

  • Served with the government, representing agencies such as the Centers for Medicare and Medicaid Services (CMS), the Department of Health and Human Services (DHHS), the Office of the Attorney General, and the Department of Justice (DOJ);
  • Served as Assistant United States Attorney, Assistant District Attorney and Deputy Attorney General;
  • Served as advisors on national advisory committees and task forces for CMS and trade associations;
  • Served as in-house experience in a variety of settings;
  • Served as officers of national and state health law and legal organizations;
  • Earned advanced educational degrees in healthcare;
  • Front-line work experience for institutional healthcare providers, nonprofit organizations and for-profit companies, including oversight responsibility for clinical trials;
  • Held faculty positions at universities; and
  • National recognition, within such publications as the Chambers USA Survey of America’s Leading Lawyers for Business, Super Lawyers, and Georgia Trend’s Legal Elite.