Healthcare
The Firm represents a wide variety of health care providers, including physicians, hospitals, home health agencies, accountable care organizations, clinical laboratories, dialysis centers and federally qualified health centers. The Firm provides the following services to our health care clients:
Certificates of Need
Fraud and Abuse Compliance
Anti-kickback Statute
Civil Monetary Penalty
Stark Law
State Statutes
Healthcare Audits
Medicare Audits
Medicaid Audits
Private Payor Audits
Healthcare Corporate and Transactions Law
Healthcare Licensing
HIPAA Counseling and Defense
Labor and Employment
Medicare Enrollment and Revocations
Reimbursement Disputes
Regulatory Counseling and Advocacy
Representative Healthcare Matters:
- Assisted clinical laboratory in remodeling sales employment agreements and compensation plan to comply with the EKRA Employment Exception.
- Advised behavioral health clinic in nationwide roll-out of telemedicine services to FQHCs/RHCs and employer-run clinics.
- Represented state Primary Care Association in developing policy for involuntary commitments.
- Represented large specialty practice in obtaining medical staff privileges subsequent to a multi-campus hospital refusing to open up specialty applications.
- Represented seller in a $4,000,000 disposition of assisted living community, including negotiation of the purchase and sale agreement.
- Represented a hospital management company in the acquisition of multiple critical access hospitals out of bankruptcy.
- Developed compliance plan for multi-location dialysis company.
- Developed compliance plan for clinical laboratory.
- Represented a hospital management company in negotiation of interim management services agreement for a critical access hospital in Chapter 11 Bankruptcy proceeding.
- Successful negotiation of settlement with state Medicaid Fraud Control Unit regarding alleged false claims from physician practice.
- Obtained letter of exemption from CON review for replacement of surgical equipment in surgery center.
- Represented a physician practice in connection with a $11,000,000 joint venture with a publicly traded dialysis company.
- Advised a health system in connection with the divestiture of a home health agency, including negotiation of all deal documents.
- Represented multiple non-profit health systems in litigation matters, including reimbursement disputes and employment disputes
- Representation of several health care providers in commercial and employment litigation.
- Negotiated hundreds of employment, shareholder, professional service agreements and service agreements for health care providers and health care systems.
- Advised major health care network in wind down and dissolution matters.
- Advised multiple clients on DNV and Joint Commission matters.
- Advised multiple clients on HIPAA and HiTech compliance, including risk assessment, business associate agreements, policy development and personnel training.
- Advised multiple healthcare providers on Anti-trust, Fraud and Abuse and compliance matters.
- Represented Federally Qualified Health Centers, Independent Physician Associations, and Physician Hospital Organizations in formation of five (5) Accountable Care Organizations.
- Advised health care providers on collaborations with Accountable Care Organizations.
- Represented multiple health care providers in negotiation of real estate and equipment leases and purchase agreements.
- Advised Independent Physician Organizations and Physician Hospital Organizations on Anti-trust matters, including clinical integration and messenger models.
- Formation of clinically integrated health network.
- Development of governing documents for Independent Physician Organizations and Physician Hospital Organizations.
The Firm's principal, Adam Walters, is the co-author of the Certificate of Need Chapter in the Georgia Hospital Association's Hospital Law Manual and has been published in multiple American Health Lawyers Association publications. He currently serves as Vice-Chair - Publications for the Physicians' Organizations Practice Group of the American Health Lawyers Association. He is also asked to speak to physicians and practice managers about health care matters.