Health Care Law

Our health care expertise comes from resolving actual problems or situations which our clients have brought to us. Over the years, these clients have referred similarly situated providers and entities, and our practice has quickly grown. Through our representation of nearly every participant in the health care arena – including providers, payers, and manufacturers -- we are uniquely positioned to solve regulatory problems and identify business opportunities.

Providers

  • Administrative appeals
  • Ancillary services
  • Anti-kickback
  • Anti-solicitation
  • Arbitrations
  • Audits
  • Beneficiary inducement
  • Civil investigatory demands
  • Consent agreements, decress, and orders
  • Closed networks
  • Credentialing
  • Employment contracts
  • Fact-finding conferences
  • HIPAA and HITECH
  • Investigations by regulators and payers
  • Licensure
  • Network contracting
  • Mediations
  • Marketing and lead generation agreements
  • Noncompetition agreements
  • Peer review panels
  • Recoupments
  • Reimbursement
  • Regulatory boards
  • Stark
  • Telemedicine
  • Zone Program Integrity Contractor (ZPIC) audits

Pharmaceutical Manufacturers

  • Formularies
  • Mandated benefits
  • Reimbursement rates
  • Preferred drug lists
  • Sales and marketing arrangements

Health Plans

  • SCC Bureau of Insurance
    • Health plan licensure
    • Compliance
  • Department of Health
    • Managed Care Health Insurance Plan (MCHIP)
    • Certificate of Quality Assurance (CQA)
      • Delegated authority agreements
      • Plan policies and procedures
      • Network formation
      • Provider contracting
  • Department of Medical Assistance Services: procurements

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HEALTH CARE INSIGHTS

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