Health Regulatory & Regulatory Diligence

Helping clients comply with laws created to minimize health care fraud, waste and abuse including laws relating to health program referrals, marketing arrangements, incentive programs, discounts, and other payment arrangements. Specifically, we counsel clients on compliance with the Stark Law, Federal Anti-Kickback Statute, anti-inducement laws, fee-splitting restrictions, and other related rules and regulations.

Advising organizations on clinical program compliance including laws relating to telemedicine, professional licensure, clinical supervision, scope of practice, prescribing, controlled substances prescribing, restrictions on the corporate practice of medicine, notice and informed consent requirements, lab ordering rules, and clinical risk management.

Providing support for meeting requirements for reimbursement under government and commercial insurance programs, including Medicare, Medicaid, Medicare Advantage, fully- or self-insured commercial insurance, value-based care arrangements, and managed care.

Helping companies develop and implement the legal and compliance infrastructure needed to support their health care businesses.