Kean Miller's Health Law Group advises clients on complex health care law issues. We provide assistance and guidance on Medicare/Medicaid regulatory issues, fraud and abuse, compliance audit issues, Stark Law issues (including Stark II, Phase II), defense of Medicare and Medicaid audits, reimbursement, HIPAA compliance, managed care issues, and medical malpractice defense. We also represent health care clients in many areas of litigation and advise them in the areas of business transactions, labor and employment, tax, and medical malpractice, as well as on federal and state legislative issues.

Representative Experience:

Regulatory Compliance

• HIPAA compliance
• Medicare Reimbursement
• Stark Law Issues
• Review of Healthcare Business Transactions
• Federal and State Anti-Kickback Statutes

Business ventures and transactions

• Development of diagnostic imaging centers Long-term care hospitals
• Asset sales and purchases of healthcare facilities
• Dialysis clinics
• Physical therapy providers
• Rehabilitation hospitals

Corporate Compliance Issues

• Medicare and Medicaid audits and investigations
• Compliance program development
• Compliance program documents
• Monitoring programs
• Incident investigation and corrective action

Contracting (advice, negotiation, drafting)

• Medical director and advisory board agreements
• Staffing agreements
• Drug study agreements
• Managed care provider agreements
• Management agreements
• Third Party administration agreements
• Space, equipment and personnel leasing agreements
• Collaborative practice agreements
• Physician recruitment agreements

Litigation

• Qui tam litigation
• Business litigation
• Medical malpractice litigation

Administrative Hearings

• Defense of payment review and overpayment determinations
• Defense of exclusions from Medicare and Medicaid
• Defense of cost report disallowances
• Licensing and state board complaints
• Credentialing and staff privileges
• Defense of WIC actions
• Defense of sanitary code actions

Legislative and Regulatory Issues

• Legislative monitoring
• Rulemaking
• Lobbying

Advice and opinion letters

• Advisory opinions
• Insurance coverage issues
• Third party liability
• Exposure incidents
• Managed care regulations
• EMTALA