Physician Issues

Our attorneys represent physicians individually and in integrated organizations, such as physician organizations, accountable care organizations and super groups.  We understand the legal and regulatory issues impacting physicians and our attorneys are well equipped to counsel physicians in a variety of areas. Recognizing that each physician and physician organization faces unique challenges, we work closely with our clients to understand their particular needs, to identify key issues and develop appropriate solutions.

As physicians seek ways in which to make the best decisions in the changing health care landscape, we can help in a number of ways, including:

  • Drafting and negotiating employment agreements

  • Forming group practices and appropriate distribution methodologies that are consistent with the Stark law

  • Analyzing relationships for appropriateness with various health care regulations

  • Assisting with HIPAA compliance

  • Acting as general counsel for group practices, including counseling on difficult patient and employee issues

  • Drafting and updating of compliance programs

  • Identifying compliance issues and addressing billing questions and issues such as overpayments

  • Assisting with state licensure or staff privilege matters

  • Negotiating managed care contracts

  • Advising on relationships with non-physician personnel such as nurse practitioners and physician assistants

  • Advising on audit defense of Medicare audits and other third party payor audits

  • Advising on appropriate marketing relationships

  • Advising on Medicare mandatory claims submission, enrollment, opt-out issues and concierge medicine

  • Forming or negotiating participation terms in Accountable Care Organizations (ACOs) for participation in the Medicare Shared Savings Program (MSSP) or other initiatives