Advise clients on compliance issues related to third party coverage, payment,
and reimbursement. Review policies and procedures of billing operations and
develop comprehensive compliance plans.
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Advise clients on HIPAA requirements and implementation of HIPAA compliance
plans. Conduct gap assessment and audit of HIPAA readiness. Review privacy
policies, intake procedures, and employee and contractor requirements.
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Support business transactions – contract and financing negotiations,
real estate and asset acquisitions; support mergers and acquisitions – develop
deal structure, assist in due diligence assessment, negotiate financing, finalize
deal terms and documents, ensure regulatory compliance.
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Counsel and advise clients regarding medical staff appointment, reappointment,
and clinical privileges. Advise clients on protection of peer review documents
and sharing of confidential peer review and credentialing information. Represent
clients in litigation related to peer review and credentialing.
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Resolve commercial, transactional, property, civil, and criminal disputes through
advocacy of clients’ business objectives and aggressive, yet collaborative
negotiation.
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Review and develop compliance plans to meet regulatory requirements regarding
fraud and abuse, state and federal anti-kickback statutes, self-referral, and
false claims. Review existing contracts and financial relationships. Prepare
legal opinions regarding new financial relationships.
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