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Rossway Moore & Taylor has the ability to provide a full range of legal services to health care clients of all sizes. Our team includes lawyers specializing in health care law, business law, labor law, and litigation, and is equipped to provide services in the following areas of practice:
- Business Organization, Corporate and Contractual Legal Services Advising and counseling providers, payers and other health care entities on all legal matters relating to the organization, structure and operations of health care facilities, professionals and third party reimbursement programs.
- EMTALA Compliance Advising hospitals and physicians on compliance with the Emergency Medical Treatment and Active Labor Act and responding to regulatory inquiries and investigations on EMTALA compliance, including plans of correction.
- Fraud, False Claims Act and Civil Sanctions Advising hospitals, physicians, long-term care facilities, home health agencies and other health care providers on all aspects of government anti-fraud and False Claims Act enforcement, including application to quality of care issues.
- Health Care Financing Representation of clients in negotiation and closing a variety of financial transactions, including conventional loans and other debt financings.
- HIPAA and Medical Records Assistance in compliance with HIPAA standards and other regulations governing maintenance and disclosure of medical records including: guidance on HIPAA implementation; drafting, reviewing and approving policies, forms, agreements and related documents; interpretation of privacy regulations; incorporation of HIPAA into existing compliance programs; and creating and presenting educational programs on HIPAA and related medical records issues.
- Illegal Remuneration, Stark Law Advising hospitals, physicians and other health care providers on compliance with federal and state laws and regulations governing financial relationships among sources and recipients of referrals for health care products and services, and responding to regulatory scrutiny of those relationships.
- Joint Ventures, Mergers and Acquisitions Mergers, acquisitions and joint ventures, including joint ventures involving patient referral sources and recipients in compliance with the federal Stark and anti-kickback statutes.
- Managed Care Advising and representing of health care providers and payers in connection with laws and regulations governing managed care arrangements, including financial risk-sharing among providers and payers, utilization review activities, timely claims payment, "any willing provider" laws and the impact of ERISA preemption on state statutes and regulations governing managed care.
- Professional Disciplinary and Other Medical Staff Issues Representation of hospitals, managed care organizations, regulatory authorities and medical staff leadership in discharging their responsibilities of: physician oversight, including drafting, revising and interpreting Medical Staff Bylaws and related policies and procedures; credentialing and peer review activities under the Health Care Quality Improvement Act; and creating educational materials and programs relating to medical staff issues, including EMTALA, clinical research and general corporate compliance issues.
- Reimbursement: Representation of providers in Medicare Part B reimbursement disputes and other issues associated with third-party reimbursement by private insurers, Medicare and Medicaid.
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