Provider Operations

Founded with the exclusive purpose of representing health care providers, the attorneys at the Health Law Center offer experienced guidance across all aspects of a provider’s operations. We assist clients in negotiating, drafting, and revising entity formation documents to create a clear and practical operational roadmap—minimizing the risk of future disputes and enabling efficient resolution when issues arise. Our team also provides knowledgeable guidance to help ensure timely provider participation in health care programs, including state licensure, Medicare certification and/or accreditation, Medicaid enrollment, and credentialing.

Our attorneys have the background and experience critical to negotiating and drafting billing agreements, electronic health record (EHR) contracts, and the wide range of other agreements providers may need to launch, adapt, and/or enhance their operations. We have deep experience in preparing compliant and effective governing board bylaws and medical staff bylaws, as well as supporting providers in resolving internal operational challenges.

Because we enjoy long-standing relationships with our clients, we understand and help clients anticipate the operational issues providers face as they start, as the business matures, and how they are impacted with regulatory and reimbursement changes.  With attorneys well-versed in every aspect of a provider’s business, we are a trusted partner and strategic resource for our clients committed to helping them succeed and thrive.

Provider Operations

Our attorneys focus exclusively on health care providers and deliver practical solutions for every stage of your provider’s operation. We negotiate, draft, and revise formation documents to establish a clear roadmap, reducing future disputes and streamlining issue resolution. We also assist providers with licensure, Medicare and Medicaid enrollment, accreditation, and credentialing to ensure timely program participation. From billing, EHR, and practitioner agreements, to governing board and medical staff bylaws, we craft compliant agreements that preserve the provider’s operational flexibility.  Due to our deep commitment to and experience in representing health care providers, we serve as a strategic partner committed to helping your practice thrive.

Entity Formation

Our legal team is highly knowledgeable in helping clients navigate the complex process of forming provider entities. With a deep understanding of the intricacies involved, we guide clients through each step. Our wide range of services is tailored to address the unique needs and challenges faced by healthcare providers when establishing their organizations.

  • We offer our clients assistance in choosing the right organizational structure for their provider entity, ensuring that they remain compliant with all relevant regulations and requirements.
  • Our team specializes in regulatory compliance and offers expert guidance on adhering to federal and state laws, as well as industry-specific regulations. By ensuring our clients’ provider entities are compliant, we help them operate successfully.
  • We specialize in contract negotiations, representing clients in dealings with physicians, vendors, and payors. Our goal is to advocate for our clients’ interests and ensure that all contracts are both fair and compliant with relevant regulations.
  • We specialize in aiding clients with the acquisition and upkeep of licenses and accreditations for their provider entities. Our expertise allows us to navigate the intricate regulatory environment effortlessly.
  • Our attorneys offer guidance on the legal aspects of mergers and acquisitions. They assist clients in seamlessly integrating or acquiring other healthcare organizations.

Governing Board Bylaws

Our legal team is highly experienced in assisting hospitals with the development, revision, and implementation of governing board bylaws. We offer a wide range of comprehensive services that cater to the unique needs and challenges faced by hospital governing boards.

  • We support hospitals in creating governing board bylaws that are clear, comprehensive, and compliant with federal and state laws, as well as industry-specific regulations.
  • Our team provides expert assistance in revising governing board bylaws. We ensure ongoing compliance with changing laws and regulations, while also addressing the evolving needs and circumstances of hospitals.
  • Our services encompass assisting hospitals in operating in accordance with their governing board bylaws. We offer guidance on governance matters, ensure compliance with the established bylaws, and handle any potential issues or conflicts that may arise.
  • Our attorneys specialize in resolving disputes related to governing board bylaws for hospitals. Through advocacy and a focus on efficiency, we work diligently to achieve effective resolutions that align with our clients’ interests.
  • We assist hospitals in establishing and executing comprehensive compliance programs to adhere to regulatory requirements and ensure a sound governance framework. This includes supporting the development of governing board bylaws and implementing strategies to minimize potential risks.

State Licensure

Our legal team consists of attorneys who are knowledgeable in health care law and possess knowledge of the complex state licensure system. We are proficient in managing licensure matters across different states and possess the expertise to effectively assist our clients throughout the licensing process.
We assist clients with a wide range of services, including:

  • We assist healthcare providers in completing and submitting applications for their initial state licensure.
  • We offer comprehensive support for license renewals, ensuring that our clients successfully maintain their licensure while steering clear of potential challenges or complications.
  • We assist clients in creating and executing strong compliance programs to ensure that their licensure status is maintained and potential risks are minimized.
  • Our team of attorneys possesses extensive knowledge and experience in effectively managing legal matters that revolve around licensure-related disputes, investigations, and enforcement actions. They are dedicated to advocating for our clients’ interests and protecting their rights throughout the process.
  • Our services support clients in managing the regulatory aspects involved in expansions or changes of ownership.

Medicare & Medicaid Enrollment

Our legal team is well-versed in Medicare and Medicaid regulations, with experience in navigating the enrollment process for a diverse range of health care providers. We offer a variety of services to address the unique needs and challenges faced by our clients:

  • We assist clients with the initial Medicare and Medicaid enrollment process, ensuring applications are complete, accurate, and submitted on time.
  • Our team helps clients with revalidation to maintain their Medicare and Medicaid enrollment status, ensuring uninterrupted payment.
  • We assist clients with reporting enrollment updates, ensuring compliance with regulations.
  • We handle enrollment disputes and appeals. They advocate for clients’ interests and work towards efficient resolutions.
  • Our services helps clients establish strong compliance programs to stay enrolled and stay on top of regulatory changes.

Accreditation

Our team of attorneys has experience in navigating the complex world of accreditation and Medicare enrollment. We offer a comprehensive range of services to help our clients achieve and maintain deemed status:

  • We help healthcare facilities prepare for accreditation surveys, ensuring they meet the standards set by the Joint Commission and other accreditation companies.
  • We help clients establish strong compliance programs to maintain accreditation and avoid penalties. Our team is dedicated to developing and implementing robust solutions for your peace of mind.
  • We offer expert support during on-site surveys, guiding clients through the accreditation process and resolving any issues or concerns they may have.
  • Our attorneys help clients develop and implement effective corrective action plans to address survey findings promptly and efficiently.
  • We help clients obtain Medicare enrollment through deemed status. We ensure all required documentation is completed and submitted correctly, following the regulations.

Veterans Administration

Our legal team possesses extensive knowledge of VA rules and regulations, along with a deep understanding of the specific needs and challenges faced by healthcare providers who treat military veterans. We offer a comprehensive range of services to address these unique requirements:

  • We assist health care providers in understanding and adhering to the complex regulations set forth by the VA, helping them maintain compliance and avoid potential penalties.
  • Our attorney provides expert guidance on billing practices and procedures, ensuring that providers are properly reimbursed for their services and avoid any pitfalls related to VA billing.
  • We represent health care providers in negotiating contracts with the VA, advocating for their interests and ensuring that contracts are fair and compliant with all applicable regulations.
  • Our attorneys represent clients in VA-related disputes and appeals, working to resolve issues efficiently and effectively.
  • We offer training and education programs for health care providers and their staff, covering essential topics related to VA regulations, compliance, and billing.

Survey Readiness/Plans of Correction

Our legal team has extensive knowledge of licensure and complaint survey processes, as well as the specific challenges faced by healthcare providers in this area. We offer a wide range of services to help our clients effectively manage survey-related matters:

  • We help health care providers prepare for licensure and complaint surveys by reviewing their policies, procedures, and practices to ensure compliance with all applicable regulations and standards.
  • Our team provides expert guidance in responding to survey findings, helping clients address identified deficiencies and develop appropriate corrective actions.
  • We assist clients in developing and implementing comprehensive plans of correction to address survey findings and ensure ongoing compliance with regulatory requirements.
  • Our attorneys represent clients in survey-related appeals and disputes, advocating for their interests and working to resolve issues efficiently and effectively.
  • We work with clients to develop and implement robust compliance programs to maintain their licensure status and mitigate potential risks related to survey findings.