Industries & Practices
Provider & Medical Staff Issues
We foster a positive relationship between health systems and providers.
Our attorneys address all aspects of health system/provider relationships, including:
- Medical staff and advanced practice provider bylaws, policies and related governing documents
- Peer review processes including credentialing, privileging, professional practice evaluation and performance improvement (both individual and systemic)
- Medical staff integration or unification
- Sharing protected information within a system or with other health care entities
- Medical necessity concerns
- Informal remediation and corrective action, including hearing officer and presiding officer services
Credentials Verification Organizations (CVO) and M...
Represent health systems and hospitals for initial and recertification of National Committee for Quality Assurance (NCQA) credentialing and CVO certification. Develop and negotiate delegated creden...More
Peer review and medical staff hearings
Develop peer review processes for medical staffs and practitioners granted clinical privileges with health systems and hospitals.
Graduate Medical Education (GME)
Work closely with teaching faculty and hospital leadership for academic medical centers and teaching hospitals with training programs accredited by the Accreditation Council for Graduate Medical Ed...More
Medical staff bylaws overhaul
Complete redraft of medical staff bylaws, rules and regulations, credentialing, peer review and fair hearing policies for a large health system with separate medical staffs.More
Medical staff bylaws and governance
Manage and develop medical staff bylaws and governing documents for health systems with unified and/or separate medical staffs to standardize processes and bylaws for credentialing, privileging, pe...More
Work closely with medical staff leadership for health system with separate medical staffs on credentialing, privileging, professionalism and effectiveness, quality and peer review matters for ...More
Hospital transition to orthopedic-only center
Assisted a health system in transitioning a hospital campus into a specialty services center, which required engaging physicians on the center’s medical staff to participate in quality improv...More
Medical staff bylaws and governing documents revie...
Reviewed the medical staff bylaws and governing documents of a hospital system with eleven hospital campuses to standardize the processes and bylaws language for credentialing, privileging, peer re...More
Medical staff bylaws overhaul
Redrafted a large hospital system’s medical staff bylaws, rules and regulations and organization manual, which contained the committee structure, sharing of information and peer review proces...More
Medical staff unification
Unified a health system’s three medical staffs to be in compliance with the Centers for Medicare and Medicaid Service’ Conditions of Participation to create increased efficiencies withi...More