Industries & Practices

Hospice

We are well versed in Medicare hospice program requirements.

Overview

Many of our attorneys bring firsthand regulatory and compliance experience to their understanding of the unique and complex policy, regulatory and business issues faced by hospice providers. We routinely advise clients on the Medicare Conditions of Participation and other federal and state requirements that impact hospice operations.

We provide practical guidance on compliance practices and regulatory pitfalls.

  • Development and implementation of corporate compliance programs
  • HIPAA data privacy and security, including breach investigations and remediation
  • Hospice quality reporting requirements
  • Compliance issues related to hospice marketing, sales strategy and joint branding
  • Tax-exempt status requirements
  • Self-disclosures and adherence to the applicable protocol for notifying the appropriate governmental, oversight or accreditation agency about an issue of potential noncompliance

We counsel clients on how to comply with federal and state regulations governing hospice providers.

  • Medicare and Medicaid licensure, certification and standards of care
  • Medicare, Medicaid and third party billing, collections and accounts receivable regulations
  • Fraud and abuse investigations
  • Federal and state anti-kickback statutes and Stark laws
  • Self-reporting overpayments and regulatory violations to government agencies

Hospice providers of all types depend on us to help them structure transactions that are consistent with their business strategies and in alignment with state and federal regulations.

  • Mergers, acquisitions and joint ventures
  • Medical director and employed physician contracts and governance documents
  • Operational policies and procedures
  • Membership substitutions
  • Evaluation of purchases of home health agencies
  • Capital financing, including taxable and tax-exempt revenue bond and HUD loans
  • Structuring arrangements with skilled nursing facilities including allocation of staffing resources, contractual requirements and Joint Commission requirements

Related Industries & Practices

Insights & Resources
People
Shannon K. DeBra Shannon K. DeBra Of Counsel
Shannon K. DeBra Of Counsel
Cincinnati
513.870.6685
sdebra@bricker.com
Joshua M. Gilbert Joshua M. Gilbert Associate
Joshua M. Gilbert Associate
Columbus
614.227.7736
jgilbert@bricker.com
Kevin M. Hilvert Kevin M. Hilvert Partner
Kevin M. Hilvert Partner
Columbus
614.227.2398
khilvert@bricker.com
Elizabeth A. Kastner Elizabeth A. Kastner Partner
Elizabeth A. Kastner Partner
Columbus
614.227.8852
ekastner@bricker.com
Stephen R. Kleinman Stephen R. Kleinman Partner
Stephen R. Kleinman Partner
Columbus
614.227.2329
skleinman@bricker.com
Avery Schumacher Avery Schumacher Associate
Avery Schumacher Associate
Columbus
614.227.2309
aschumacher@bricker.com