Bricker's health care team regularly counsels long-term care providers on topics that include the following:

• Nursing home licensure
• Medicare and Medicaid certification
• Accreditation surveys and corrective action plans
• Medicare, Medicaid and third-party payer reimbursement; receivables consulting
• Medicaid hearings and appeals
• Compliance with the Medicare Conditions of Participation and other state and federal requirements that affect the operation of skilled nursing facilities and nursing facilities
• Operational policies and procedures
• Compliance program elements (policies and procedures, training, investigations and audits); self-disclosures to the appropriate governmental, oversight or accreditation agency regarding an issue of potential noncompliance
• Billing and payment regulations; assistance with overpayment refunds to comply with the 60-Day Overpayment Refund Rule
• Federal and State Anti-Kickback Statutes and Stark (physician self-referral) Laws
• Drafting and/or review of medical director and employed physician contracts as well as vendor agreements
• Structuring arrangements, reviewing and negotiating contracts with other providers including hospices and therapy providers
• HIPAA investigations, audits and training
• Resident agreements
• Labor and employment issues
• Strategic planning
• Corporate formation, restructuring and governance issues
• Membership substitutions, mergers, acquisitions and joint ventures
• Capital financing, including taxable and tax-exempt revenue bond and HUD loans
• Tax-exempt status and compliance issues
• Real estate transactions and leasing

In addition, through our affiliated consulting company, INCompliance Consulting, we assist with:

• Space requirements and conversion of space for nursing home and assisted living use
• Meeting assisted living licensure requirements and waiver regulations
• Preparation and submission of CON applications and support throughout the CON process, including administrative hearings, if needed
• Bringing providers together to relocate long-term care beds
• Assisting with the negotiation of terms for bed transfer agreements
  • Advising on values for bed rights
  • Meeting licensure and certification requirements throughout the planning and implementation of long-term care bed sales and acquisitions
  • Negotiating the allocation of franchise permit fees associated with bed sales and acquisitions
  • Advising on the timing for de-licensure/licensure of relocated beds to minimize franchise permit fee liability