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Areas of Special ExpertiseA hallmark of the Firm is the proactive representation of our physician clients. This approach allows our clients to respond successfully to the rapidly changing health care environment. We pride ourselves on attending to the particular needs of our clients, including scheduling telephone conferences and meetings at times to meet their sometimes unpredictable schedules. The following areas are representative of the specific matters in which the Firm regularly practices:
Physician/Hospital Alignment StrategiesThe Firm is actively involved in the development of alternative alignment vehicles, including outpatient hospital departments, medical foundations, and accountable care organizations, through which physicians and hospitals integrate clinically and financially to deliver a wide array of primary care and specialty medical services.
Bundling of Physician and Hospital Services/FeesThe Firm is on the cutting edge in the development of consolidated health care delivery programs that contemplate reimbursement to the participating providers (physicians and facilities) on a global fee and/or per episode of care basis.
Health Care Business TransactionsThe Firm represents its clients in all aspects of their general business transactions including the purchase and sale of professional practices, and the formation, merger and reorganization of professional group practices, physician recruitment, and joint ventures.
Ancillary Service Product LinesWe help our medical group clients to identify additional in office ancillary services to better treat their patients and to create sources of supplemental revenue. In this regard, the Firm is extensively involved with helping our clients develop ancillary service product lines such as diagnostic imaging, clinical laboratories, ambulatory surgical centers, and physical therapy services and programs.
Compensation and Buy-Sell StrategiesThe Firm provides advice concerning compensation methodologies that attempt to meet the needs of both the medical organization and its constituent physician owners and employees. The Firm works hard to align compensation methodologies with the individual culture of each medical organization. In this same role, the Firm provides advice regarding ownership admission and exit strategies, including equity redemption formulas and restrictions on post-withdrawal competition by former owners.
Peer Review MattersThe Firm is well-known for its representation of physicians, medical staffs and medical groups in peer review disciplinary matters. Given its extensive experience in the peer review process, the Firm is often able to anticipate the strategy of the opposition in formal disciplinary proceedings. This insight frequently gives the Firm a unique advantage in such matters.
Hospital-Based Provider ArrangementsThe Firm advises many hospital-based physician groups with their exclusive contracting needs. The Firm is very experienced in analyzing and negotiating the potential "gotchas" in hospital-based provider agreements.
Third Party Payer ContractingThe Firm is experienced in preparing and negotiating fee-for-service, capitation and sub-capitation contracts. Moreover, the Firm aggressively represents our medical group and physician clients in their contracting arrangements with preferred provider organizations, health maintenance organizations, and other managed health care entities.
General Health Care Regulatory LawThe health care law expertise of the Firm runs the gamut of the rules and regulations imposed by governmental and quasi-public agencies and organizations affecting physicians and medical organizations, including the limitations of physician self-referrals, Medicare fraud and abuse and state anti-kickback prohibitions, and the privacy requirements under HIPAA the Health Insurance Portability and Accountability Act of 1996. |
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