Practice Area Health Law

Transactional

Created Faculty Practice Plans.
Developed Medical Staff Practice Plans.
Developed PSO's.
Developed ambulatory surgery centers.
Created hospital-physician networks and joint-ventures.
Provided general corporate, contract, and securities work for a number of corporate clients.
Completed prospectuses for stock offerings ranging from $140 million to $250 million.
Developed managed care plans and negotiated contracts regarding the same.
Developed several foundations.
Merged healthcare facilities; merged physician practices.
Developed multi-specialty group practices.
Revised medical staff bylaws.
Developed numerous IPAs and MSOs.
Negotiated physician practice acquisitions.

Litigation

Negotiated settlements of alleged Stark law violations.
Litigated securities fraud suit involving sale of medical products.
Litigated cases on tax exemption.
Represented a coalition of nursing homes in seeking to overturn burdensome and costly regulations.
Obtained $2.75 million in additional reimbursement from HCFA because of flaws in the RVS and RBRVS payment systems.
Obtained $1.8 million settlement in reimbursement litigation.
Negotiated with HCFA regarding alleged overpayments.
Represented in various cases either hospitals or physicians in disputes over medical staff credentialing and physician employment.
Pursued Provider Reimbursement Review Board (PRRB) appeals.
Pursued litigation against computer manufacturer for breach of warranty and fraud.
Represented debtors and creditors in bankruptcy proceedings.
Represented providers in antitrust suits.
Represented physicians in partnership dissolution.
Represented providers in qui tam suits.

Regulatory

Advised on certificate of need applications and appeals.
Advised on reimbursement issues and filed reimbursement appeals for healthcare facilities and physicians.
Advised on licensure and certification questions, including focused reviews.
Advised on antitrust and fraud and abuse issues.
Advised on IRS issues including income tax, private inurement, private benefit, public charity status.

Consulting

Developed a manual on the MSO industry.
Negotiated several dozen managed care payor contracts for physician/hospital networks in Pennsylvania.
Currently marketing nine physician/hospital networks.
Billing and claims processing for a large, single-specialty IPA.