Health care is a highly regulated industry where the regulated person or organization is required to comply with numerous laws, rules and regulations as a condition of participation and operations.
Corporate compliance plans are mandated under certain federal and state programs such as Medicare, Medicaid, the Health Insurance Portability and Accountability Act (HIPAA), and the Health Information Technology for Economic and Clinical Health Act (HITECH). These compliance plans become evidence of “best practices” for others (licensing requirements, accreditation standards, etc.).
Our team works with health care providers to counsel, perform gap assessments, and document and implement compliant systems and processes consistent with these rules and regulations. We provide our expertise on compliance regulations at all levels of the health care organization and work with Compliance Officers or comparable personnel within an organization to assure timely review and response to identified billing errors or information breaches.
We also perform regulatory due diligence to health care transactions to assure state licensing, certificate of need, and Medicare provider status issues are addressed.
With a deep understanding of the challenges facing employers in this rapidly changing industry, our team brings experience and practical advice to the life cycle of health care employment.
From the recruitment of and on boarding new employees to handling reductions in force; workplace instigations and training; employment contracts, policies, and handbooks; compensation structures, pay practices, exempt classifications and benefits; managing contingent work forces and assessing joint employment concerns; immigration; antitrust and equal pay; anti-discrimination, retaliation and whistleblowing.
“Draft, review and negotiate all contracts including insurance contracts, lease contracts, clinical trial agreements and budgets, vendor agreements, commercial agreements and employment agreements; All aspects of insuring compliance with medical necessity; Medical billing; Medical and clinical trial audits.”
— Tiffany N. Little