HEALTH CARE REGULATION AND LITIGATION

The American healthcare system faces enormous challenges.  Fierce competition, complex regulations, intense government scrutiny, technological advances and financial and political uncertainty create unrelenting pressure to improve quality and lower costs. Standards, whether demanded by the public, the government or self-imposed, are extremely high. Failure to achieve them can be disastrous.

Taylor Porter understands these challenges and is focused on helping our clients find efficient, cost-effective solutions. Our Healthcare Practice Group is an integrated, multi-disciplinary team with extensive experience in virtually every aspect of healthcare delivery and financing. That experience includes areas with special application in healthcare, including tax, antitrust, labor and employment, environmental, governmental relations and all forms of litigation, administrative proceedings and alternative dispute resolution.

Dynamic. Complex. Competitive. Uncertain. All describe our healthcare system. And providing the full range of legal services necessary for our clients to succeed within that system is what the Taylor Porter Healthcare Practice Group does every day.

Taylor Porter’s Health Care Practice Group advises and counsels clients in the following areas:

Health Care Transactions

• Business Organizations and Contracts
• Mergers and Acquisitions
• Joint Ventures and “Under Arrangements” Contracts
• Health Care Financing
• Tax
• Antitrust

Fraud and Abuse

• Self Referrals/Stark
• Anti-Kickback Statute
• False Claims Act
• State Law Issues

Compliance Counseling – Help clients prevent, detect, investigate and remedy potential violations of the vast array of laws, regulations and standards to which health care providers, suppliers and payers are subject, including

• Billing and Reimbursement
• Fraud and Abuse
• EMTALA
• HIPAA
• Clinical Research and Grant Integrity
• Licensure, Certification and Accreditation

Health Information and Technology

• Medical Records
• “e-Health” Issues
• HIPAA Privacy and Security

Medical Staff

• Bylaws
• Credentialing and Peer Review
• Fair Hearing Process
• HCQIA and State Law Immunity
• National Practitioner Data Bank Issues

Health Care Reimbursement

• Medicare and Medicaid
• Managed Care
• ERISA

Licensure, Certification and Accreditation

• State Licensure and Agency Interface
• Medicare
• Joint Commission, NCQA, URAC 8. Litigation and Dispute Resolution
• Professional Liability
• Manufacturer Liability (pharmaceuticals, devices, diagnostic, DME)
• HCQIA Litigation
• Qui Tam Litigation

Taylor Porter’s Health Care Practice Group advises and counsels clients in the following health care sectors:

• Academic Medical Centers
• Private Nonprofit and For-Profit Hospitals
• Surgical Hospitals and Ambulatory Surgery Centers
• Physician Groups and Clinics
• Rehabilitation Hospitals
• HMOs, PPOs, Provider Networks and Other Managed Care Organizations
• Dialysis Clinics
• Long Term Care Facilities
• Home Health Agencies
• Hospice
• Medical Staffs
• Imaging Centers
• Pharmacies and Pharmaceutical Manufacturers
• Device and Equipment Manufacturers