The day-to-day operations of health care providers and suppliers involve myriad regulatory, compliance, and business concerns. How such matters are addressed – both before and after problems arise – can have significant long-term impacts on patient care and bottom lines. With deep knowledge of the legal and practical challenges faced by our health care clients, Hooper, Lundy & Bookman provides comprehensive counsel that covers every aspect of their operations. Full-Service Representation Hooper, Lundy & Bookman’s Provider Operations Practice Group represents hospitals, medical groups, peer review bodies, home health agencies, hospices, HMOs, pharmacies, long-term care providers, behavioral health care providers, foundations, DME providers, clinical laboratories, ambulatory surgery centers, and individual practitioners nationwide in all aspects of provider licensing certification and accreditation, including compliance, governance, contracting, and credentialing and privileging matters. We also handle a full spectrum of operational issues involving licensure and program compliance, including providing advice relating to various privacy and confidentiality protections and protected health information. Our integrated practice allows us the flexibility to effectively serve clients in many capacities, from advice and consulting to advocacy representation. Operational Compliance, Licensing, and Certification Hooper, Lundy and Bookman regularly assists provider clients in navigating compliance with complex licensure and regulatory schemes that govern their everyday operations. Our attorneys specialize in matters involving HIPAA and EMTALA, as well as compliance with state law governing licensure and federal law governing participation in programs such as Medicare and Medicaid. HLB attorneys regularly assist clients with a variety of licensing, Medicare and Medicaid certification and accreditation issues involving new and changed programs and services, changes of ownership, and legal compliance. With extensive experience at both the administrative agency level and in state and federal courts, we have successfully defended many clients against enforcement actions aimed at terminating or limiting licensure and certification. We have also successfully challenged many of the Centers for Medicare & Medicaid Services’ (CMS) attempts to impose civil monetary penalties for alleged certification and licensing deficiencies, including those for patient transfers. Medical Staff HLB’s Medical Staff Practice Group is a leader in the industry in providing guidance on myriad medical staff issues, including internal governance, credentialing, and investigations through fair hearings and litigation. Our attorneys have extensive experience in preparing and reviewing policies and procedures for peer review, quality assurance, risk management, exclusive contracting, and closed departments. We represent medical staffs in peer review hearings and governing bodies in appeals arising out of fair hearing proceedings. We handle writs of mandate and civil litigation relating to medical staff affairs in all forums and assist our clients with responding to subpoenas from state medical boards and other professional licensing boards. We also provide hearing officer services in peer review hearings. Operations Specialties:Overview
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