Compliance

Hall Render’s Fraud and Abuse attorneys represent providers across the health care industry to provide in-depth guidance and counsel with respect to issues arising under the federal Stark and Fraud and Abuse Laws. We assist health care providers on all aspects of:

• Fraud and Abuse/Antikickback/Stark;
• Hospital-Physician Alignment;
• Provider Financial Arrangements;
• Medical Group Strategy; and
• Physician-Owned Hospitals

Hall Render’s National Health Care Litigation practice has the experience to guide you from notice of a claim through successful resolution in government investigations, whistleblower fraud, retaliation lawsuits, reimbursement litigation and data breach allegations. These health care litigators and their colleagues bring a deep, nuanced and sophisticated understanding of health care to the dispute resolution process.

Hall Render’s Managed Care practice is not limited to negotiating contracts between payors and providers but rather fully encompasses all the legal and compliance issues that surround managed care. While Hall Render remains a primarily provider-focused firm, we assist many of our facility clients in building out Hospital Sponsored/Owned Plans. We have experience with Medicare, Medicaid, commercial (both fully insured and self-funded ERISA), ACA and Tricare plans. From privacy to special investigations, from building compliance programs to assisting with Corporate Integrity Agreements, our team of managed care compliance counsel is here to help both providers and provider-sponsored plans attain their goals in the most compliant way possible.

Hall Render’s Operations/Clinical service line provides counsel regarding a number of patient care and safety, governance, licensing and accreditation issues that arise in various health care settings. Our team members have experience and expertise with health systems, hospitals, rural health care providers, ambulatory surgical centers, dental practices, behavioral health entities, catholic health care, academic medical centers and post-acute care settings across the country. We advise on the clinical matters that impact health care providers and the industry.

Hall Render’s Post-Acute Care attorneys represent providers across the post-acute care spectrum including nursing homes, assisted living facilities, home health agencies and hospice programs. We assist post-acute care providers in all aspects of their business, including regulatory compliance, reimbursement, mergers and acquisitions, fraud and abuse, and labor and employment law. Our attorneys have also been very active in helping nursing homes implement compliance programs that are now mandated by federal regulations. We are especially skilled at responding to allegations of compliance imposed by State and Federal agencies. We routinely assist post-acute care providers in preparing and reviewing plans of correction and informal dispute resolutions for providers subject to adverse surveys. We also have vast experience in representing clients before the Department Appeals Board, State Medicaid agencies, state departments of health and Medicare contractors. We have also managed Corporate Integrity Agreements for post-acute care providers.

Hall Render’s Privacy & Security service line includes attorneys who represent health care providers, health plans, and entities that provide services for or on behalf of health care providers in privacy, security, and data breach matters as they arise under HIPAA, 42 CFR Part 2, and state law. From a compliance standpoint, the Privacy & Security Service Line offers legal services to assist clients with the development and review of privacy and security policies and procedures, privacy and security audits, breach assessment and notifications, OCR and Attorney General investigations, and analysis of uses, disclosures, retention and destruction of health information.

Hall Render’s Reimbursement service line provides counsel regarding regulatory compliance, reimbursement and payment practices. Our team members have experience and expertise with Medicare and Medicaid administrative appeals, Medicare/Medicaid compliance strategies and reimbursement analyses associated with federal and state law impacting payment from governmental payers. Our team provides counsel to a variety of different health care providers and can provide in-depth guidance and counsel to help clients developing strategies to ensure compliance with the Medicare and Medicaid programs.