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Healthcare Regulatory Matters

Overview

Given that healthcare is such a heavily regulated industry, a fundamental distinction of our healthcare attorneys is their knowledge and expertise in the unique laws and regulations that pertain to the delivery of healthcare.  Our capabilities in this include:

  • Licensure and Certificate of Need proceedings before the Oklahoma Department of Health
  • CHOW and 855 filings with Medicare
  • Provider enrollment with the Oklahoma Health Care Authority, our state Medicaid entity
  • Responding to governmental investigations and corrective actions including CMS 2567s
  • Assistance with issues pertaining to Oklahoma public trust hospitals such as Oklahoma Open Records Act and Oklahoma Open Meetings Act compliance
  • Advice on patient care issues related to end of life care, informed consent, patients rights, confidentiality and issues unique to reproductive health and infertility
  • Medicare/Medicaid reimbursement compliance including compliance with Stark Law, antikickback, Medicare prohibition against reassignment laws, the False Claims Act, the Civil Monetary Penalty Act and healthcare fraud and abuse statutes
  • Experience with Medicare and Medicaid audits including RAC audits
  • Experience with mental health compliance such as guidance on voluntary detention rules, unique patient consent issues and seclusion and restraint issues
  • Experience with HIPAA, EMTALA, Institutional Review Board laws, telemedicine, Healthcare Quality Improvement Act, National Practitioner Data Bank, ERISA, Medicare Part D plans, 340B Drug Pricing Program plans, and the Affordable Care Act including advice on ACOs and medical homes
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