Industries & Practices

Health Care Law

Acquisition of rural hospital

Arranged and negotiated a health system’s acquisition of a minority interest in a rural hospital.

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Acquisition transactions

Negotiated and closed dozens of physician employment and practice acquisition transactions on behalf of hospital clients.

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Stark Law violation defense

Successfully overturned a $10 million overpayment determination in favor of a physician-owned specialty hospital over alleged violations of the Stark Law.

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Lead counsel to physician compensation committee

 Currently serve as lead counsel to the physician compensation committee of a large health system that employs over 750 physicians. 

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Health system joint venture

Structured and negotiated a health system’s joint venture arrangement with a national, for-profit oncology services provider involving the health system’s entire oncology service line and employed medical and radiation oncologists

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Affiliation arrangement

Arranged an affiliation between a large, hospital-owned physician group and the faculty practice plan of a state-owned college of medicine

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Health system reorganization

Represented a large, multi-hospital health system in connection with a complete corporate reorganization of the system from a joint operating agreement model to a fully-horizontally integrated model

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Testimony before the Ohio House Health Committee

Gave testimony before the Ohio House of Representatives Health Committee on behalf of a state-level hospital association regarding medical record contents (H.B. 172).

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Medical staff governing documents

Worked closely with in-house counsel and medical staff leadership of individual hospitals and multi-hospital systems to conduct reviews of medical staff governing bylaws, policies and procedures for compliance with Medicare conditions of participation and applicable law and private accreditation standards (i.e., TJC, HFAP, DNV/NIAHO) making recommendations for standardization and industry best practices. Additionally, the team assisted with the implementation of new policies and evaluated peer review policies for effective processes, making recommendations for updates and revisions.

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Appeals of RAC denials

Guided multiple hospitals and health systems through the Medicare appeals process for Recovery Audit Contractor (RAC) claim denials and overpayment determinations. This matter involved preparing hospitals for RAC audits and managed appeals involving a wide array of billing issues through the Administrative Law Judge hearing process and Medicare Appeals Council (MAC), when necessary.

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Provider-based attestations

Prepared successful provider-based and mid-build attestations for a hospital system regarding an off-campus, provider-based department and counseled the client through the process.

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340B self-disclosure

Managed and successfully negotiated self-disclosure by a 340B covered entity to multiple drug manufacturers and the Health Resources Services Administration.

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