Services




		The following services may be provided on an hourly fee basis, a monthly retainer basis, or on a contingency basis. Litigation Litigation and Alternative Dispute Resolution Multidisciplinary Health Care Litigation Support Reactive Defense Litigation Legal Services Capitation Arrangements Collection Services/Accounts Receivable Risk Management Credentialing Formation of Health Care Entities Licensure Issues Operational Activity Provider and Payor Agreements Risk Management Programs / Corporate Compliance Programs Compliance: Corporate Compliance: Regulatory Fraud and Abuse Risk Management Risk Management Programs Litigation and Alternative Dispute Resolution Whether you are attempting to resolve disputes in a formal (court) or informal (arbitration or mediation) manner, our firm can provide you with counsel and representation. Our goal is to resolve problems quickly and efficiently, thereby minimizing the time and cost involved when such issues arise. back to top Multidisciplinary Health Care Litigation Support Health care attorneys and accountants often need a broad base of expert support in their efforts to defend their clients during Federal and State criminal investigations. Our health care litigation support team includes, among others, criminal defense attorneys; regulatory attorneys; forensic accountants; medical practitioners; health care clinicians; certified personnel in coding, billings and records review; and OSHA experts. back to top Capitation Arrangements We can negotiate and draft risk-sharing arrangements with third-party payors. Our goal is to assist in maximizing the revenue generating opportunities while minimizing the true risk that the provider is exposing itself to. back to top Credentialing Third-party payors require various degrees of credentialing. It is critical to understand the standards expected by the third-party payors and the contracts within which those standards are identified. back to top Formation of Health Care Entities Selection of proper legal entity for licensed health care providers. Formation of: Preferred provider networks Independent practice associations Vertically integrated health care systems Physician organizations Practice management companies Ancillary care providers, such as home health organizations, rehabilitation businesses and radiology centers back to top Licensure Issues Professional licensing Certificate of Need requirements State health department operating requirements Accreditation processes back to top Operational Activity Human resources Mergers, acquisitions and consolidations Public and private financing Joint ventures back to top Provider and Payor Agreements We can review a provider's contract with a third-party payor and identify the provider's areas of risk and exposure. We can also negotiate and renegotiate contracts on behalf of the provider. We have often been able to negotiate more equitable language for the provider in such third-party payor contracts. back to top Compliance: Corporate Our corporate compliance programs include audits, development, implementation, training and monitoring on a year-round basis. Starting with an on-site risk assessment, our multidisciplinary health care team will make recommendations on how to develop an effective yet affordable corporate compliance plan. Further development and implementation is available including staff training and selection / instruction for a corporate compliance officer. Our compliance team includes, among others, criminal defense attorneys; regulatory attorneys; forensic accountants; medical practitioners; health care clinicians; certified personnel in coding, billings and records review; and OSHA experts. back to top Compliance: Regulatory Antitrust analysis Third-party payor reimbursement issues. back to top Fraud and Abuse Fee-splitting and self-referral restrictions Safe Harbor regulations back to top Risk Management Reinsurance and Stop Loss Agreements Risk-Sharing Design and Risk Avoidance: We can assist a provider in determining whether that provider's professional practice lends itself to profitably participating in a risk sharing arrangement with a third-party payor. If a provider does decide to participate in such a risk sharing arrangement, we can help structure the provider's participation in such a way as to help minimize the risks involved. back to top