Healthcare Regulatory & Compliance

We work tirelessly to stay abreast of the countless and complex healthcare state and federal laws and regulations that our clients face on a daily basis, and work to develop thorough and forward-thinking compliance strategies.

Overview

In this highly-regulated industry, we are proactive and not afraid to approach tough situations, making a point to address each issue one by one. Our fraud and abuse lawyers provide analysis and compliance counseling while also helping clients navigate through critical government investigations and self-disclosures.

Serving often as outside operations or regulatory counsel, we also guide hospitals and health systems, hospice, home health and other post-acute providers through complex provider reimbursement issues arising under Medicare, Medicaid and other health programs. We have a successful track record in defending ZPIC and RAC audits, Medicare, OIG and other governmental agency investigations. We also work closely with our Transactions and Change of Ownership Teams to address pre-transactions due diligence analysis and transaction structure.

The privacy and security issues faced by healthcare companies continues to evolve while the risk of greater penalties increases. We provide guidance on issues arising under HIPAA, HITECH, and other laws governing privacy of personal medical information. We also advise on the development and implementation of compliance programs and corporate governance issues involving compliance (including negotiating and navigating complex CIAs).

Experience

  • Obtained a precedent-setting ruling that low Medicaid payment rates to healthcare providers may constitute an unconstitutional taking of property.

  • Represented a coalition of national trade associations in securing the withdrawal of a proposed Medicare reimbursement rule.

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