Health Care

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Contracts Hospital/physician contracts Physician and other health care provider employment contracts and independent contractor arrangements Physician recruitment contracts Vendor agreements Electronic health record and information systems Supply chain Services Practice acquisition contracts Managed care and third-party payor contracts Employment agreements for executives and staff
Corporate Governance, Transactions, and Compliance Counseling and advisement of governance boards Compliance Corporate compliance plans Statutory and regulatory compliance policies and audits HIPAA (Health Insurance Portability and Accountability Act) compliance policies, training, and breach management Stark Anti-kickback EMTALA (Emergency Medical Treatment and Active Labor Act) Mergers, acquisitions, and joint ventures involving physicians, hospitals, and other entities in the health care industry, and compliance with relevant laws, e.g., Stark (physician self-referral), Anti-kickback and antitrust Physician integration models Corporate/governance bylaws Entity selection and restructuring Finance Internal investigations
Licensure and Accreditation Facility licensure Professional licensure State, Joint Commission on Accreditation of Healthcare Organizations, and Healthcare Facilities Accreditation Program accreditation issues
Medical Staff Bylaws and regulations Credentialing policies and procedures Peer review including fair hearing plans, investigations, and hearings Restructuring of Medical Staff to address increased emphasis on quality and utilization
Reimbursement Medicare & Medicaid denials and appeals Recovery Audit Contractor (RAC) Medicare Administrative Contractor (MAC) Medicaid Integrity Contractor (MIC) Quality Improvement Organization (QIO) Third-party payor and managed care denials and appeals