Healthcare is arguably the most stringently regulated industry in the United States. Whether you are pursuing a healthcare business transaction, executing a contract or handling any of the common legal issues that come up in a business, you must ensure that you are meeting strict regulations.
If you are not in compliance, you are more likely than ever to be the subject of an investigation. Numerous task forces at both the state and federal level exist to ensure that health care professionals and organizations comply with regulations.
At Hendershot, Cannon & Hisey, our job is to ensure that you can succeed in your business while complying with the Stark Law, fraud and abuse regulations, and other compliance laws. We represent medical facilities, medical professionals and others in a broad range of complex healthcare regulatory compliance issues.
In all of our work, we focus on preparedness-from ensuring that your healthcare business transaction is structured properly to ensuring that your practice stands up to the increasing scrutiny of state and federal regulators.
Schedule a consultation with our law firm when you call (713) 909-7323.
We are a full-service business law firm with more than 150 years' experience in the litigation, transactional, and regulatory matters heavily involved with healthcare compliance. Because we have this extensive experience, we understand the broader issues that your healthcare entity faces on a daily basis.
We help healthcare entities establish compliance from the start of their business through daily business laws. We work with you to secure the certifications and licenses necessary to practice in your areas of specialty, and we work to ensure that you and your organization are fully compliant with all requirements.
Numerous regulatory requirements govern transactions and business dealings involving healthcare professionals and facilities. The Stark Law, fraud and abuse statutes, anti-kickback regulation, and other laws and regulations all affect which parties can be involved in a transaction and how the transaction should be structured.
Because of our broad-based business practice, our attorneys are uniquely equipped to handle these complex transactions. In fact, other attorneys refer us cases involving compliance in healthcare transactions.
We will advise you on the regulatory requirements associated with any health care-related transaction, including:
Our firm handles a wide range of compliance matters including:
Doctors, physicians' assistants, nurses, and other care providers must successfully enroll in Medicare before they are able to bill Medicare for services their patients receive. Unfortunately, providers have experienced significant problems with the enrollment process. Applications are routinely rejected for minor omissions or errors.
Our knowledgeable health law attorneys will be there to assist you with every aspect of the enrollment process, from completing and submitting the initial CMS-855 Medicare enrollment application to appealing denied applications.
As a healthcare professional, you can violate complex regulations even if you did not intend to break the law or commit fraud. Health care organizations are under increased scrutiny from the Texas attorney general, the United States Department of Health and Human Services' Office of Inspector General (OIG), Texas Department of Insurance (TDI, and other government agencies. Violations can result in severe sanctions and penalties and even criminal prosecutions.
There is no foolproof way to prevent an investigation, but you can ensure that your organization falls in line with regulatory requirements. A comprehensive, properly implemented compliance plan provides clear direction to members at every level of the organization and minimizes the potential for you to be the target of an investigation.
A compliance plan must include:
Our compliance plans address all issues relevant to your organization, including:
For any healthcare organization, a strong compliance program is the best preventative medicine. A properly implemented program can help prevent problems with Medicare or Medicaid billing and root out and deal with issues before they become large regulatory concerns. Under the Patient Protection and Affordable Care Act of 2010, all areas of the healthcare industry will soon be required to have compliance programs. That includes physicians and small practice groups.
We establish individualized compliance programs for all types and sizes of health care entities, including practices, clinics, and hospitals. Rather than draft a policy that gathers dust, we focus on ensuring that organizations have the tools they need to properly implement and follow the program. We instruct medical practices, clinics, medical groups, health care suppliers, and hospital staff on how to follow patient confidentiality regulations.
Having any compliance program is good for hospitals and other entities. Having an effective program is essential. Our firm looks at several key components to create an effective compliance program. Does your program cover these basics? We can help.
Contact us to arrange an initial consultation with a member of our health law team. Fill out a simple online contact form to get started.