Cases
Representative Cases/Matters: Corporate : Outside general counsel representation of physician practices, with particular focus on: Drafting
negotiating of contracts
organizational documents
Counseling on compliance, regulatory, employment, privacy, security
reimbursement issues
Advise healthcare professionals
providers regarding affiliations, mergers
acquisitions
Prepare
negotiate agreements for purchase of medical, optometry
dental practice assets
investment interests
Represent medical practices, physicians
other healthcare providers in preparing
negotiating employment
independent contractor agreements
Advise physician-owned
physician/hospital-owned ambulatory surgery centers (ASCs) on issues relating to preparation
revision of operating agreements, issuance
sale of membership interests,
related anti-kickback issues
Structuring Professional Practice Arrangements : Represent physician practices in drafting
negotiating pathology, radiology, emergency, anesthesia, neuromonitoring
other professional services agreements with healthcare facilities
providers
Represent management companies
physician practices in structuring, drafting
negotiating management service agreements for physician in-office prescription drug dispensing arrangements
Advise wholesale drug distributors regarding wholesale drug sales to healthcare providers
Represent management
clinical staffing companies in structuring
drafting clinical staffing
management service agreements with physician practices for chronic care management (CCM) services
in developing CCM policies
procedures
Advise software developers
physician practices regarding software licensing (end user license agreements)
Illinois counsel for multi-state surveys
transactions
Advise nursing homes on long-term care pharmacy contract issues
Advise
represent physicians on affiliations with health systems
Advise physician networks on corporate, compliance, antitrust
reimbursement matters
Represent physician-owned hospital in developing Comprehensive Care for Joint Replacement (CJR) Collaborator Agreement
arrangements
Reimbursement : Counsel healthcare providers on reimbursement self-audits, overpayment reporting
payor audits
Advise healthcare providers on anti-markup rule
Advise physicians
physician organizations on value-based payment models
Advise physicians
management companies on direct primary care
concierge medicine models
Compliance, Fraud
Abuse : Advise healthcare organizations
professionals on fraud
abuse issues, including compliance with the Stark self-referral law, state self-referral laws, federal
state anti-kickbackstatutes, civil monetary penalties law
overpayment obligations
Advise ambulatory surgery centers (ASCs) on anti-kickback
self-referral issues relating to physician ownership
defend ASC against self-referral allegations
Advise physicians
healthcare organizations on compliance programs
issues
HIPAA, Data Privacy
Security : Represent HIPAA covered entities
business associates in the review, development
implementation of HIPAA policies
procedures
Advise covered entities
business associates on risk assessment
breach reporting