Claims Appeals and Audits: RACs, ZPICs, Other Payors and Medicare/Medicaid Audit Contractors Information>>
BakerHostetler Healthcare team members are intimately familiar with the Affordable Care Act, and we actively assist our provider clients in the development of related initiatives, including medical homes and accountable care organizations. We also counsel hospitals, health systems and academic medical centers on a full range of their operational matters, and we assist them with business growth through the acquisition of facilities, financings and creation of new relationships with relevant providers.
Our team further works with physician groups of all sizes to structure joint ventures and other relationships between and among physicians, physician groups, hospitals, special healthcare service providers and others in the industry.
As the healthcare industry continues to see unprecedented regulatory enforcement and even criminalization of activity, BakerHostetler helps clients minimize the legal risks in regulatory compliance activities, including fraud and abuse, Stark, anti-kickback, and false claims compliance. We work with boards, compliance committees and officers on the changing needs and requirements of industry compliance. We also represent clients in False Claims Act litigation as well as other enforcement proceedings.
We work closely with our government policy attorneys and advisors, combining efforts and experience to provide the highest level of service to healthcare industry clients facing federal legislative, regulatory and enforcement issues. Our Healthcare Public Policy team focuses on healthcare transactions, Stark and anti-kickback laws, Medicare and Medicaid reimbursement issues, healthcare reform issues, tax-exempt industry reform and issues relating to the uninsured. They develop solutions by communicating with Capitol Hill and Administration policymakers, working with administrative agencies and dealing with enforcement officials.
Members of the BakerHostetler Healthcare team routinely offer counsel with respect to HIPAA and HITECH regulations, and our attorneys advise on issues related to data security, including risk management, regulatory compliance, breach response strategies and litigation defense.
Reimbursement and Managed Care
Enforcement and Compliance
Privacy and Data Security
Cardinal Health, Inc.
The Health Alliance of Greater Cincinnati
The Health Plan of the Upper Ohio Valley
Medical Imaging Professionals, Inc.
Texas Children's Hospital