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Health Care

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Health Care

Vorys health care attorneys are trusted and experienced professionals who counsel clients on the legal and regulatory issues facing the health care industry.  Whether the matter involves the day to day operations of a health care facility or issues associated with regulatory compliance, complex litigation, corporate compliance, fraud and abuse, or payor and reimbursement arrangements, our attorneys are fully equipped to address client health care needs. We serve as outside counsel for many hospitals, health systems, nursing homes and other long-term care facilities, skilled nursing facilities, and other health care institutional providers. We also represent many physicians, physician groups, home health agencies, ambulatory surgery centers, diagnostic centers, and other outpatient service providers.  

Our experience is broad and deep.  We take pride not only in our experience in the health care field, but also in our ability to coordinate with other practice areas to give clients access to the most knowledgeable attorneys in a variety of fields. Our attorneys understand the complex and constantly changing landscape of health care and the need to provide timely, practical, and concise solutions to the challenges facing our health care clients.

We regularly provide legal advice on the following health care matters:

• Regulatory and administrative practice before federal, state, and local authorities, including professional disciplinary matters
• Individual and entity licensure and accreditation assistance (both public and private)
• Reimbursement counseling (including identification, reporting, and repayment of overpayments) on all payor arrangements, including Medicare, Medicaid, and private third-party payors
• The complexities associated with integrated health care delivery systems, as well as institutional and physician collaborations and joint ventures, such as diagnostic imaging centers and ambulatory surgery centers (ASC)
• Fraud and abuse compliance involving the federal Anti-Kickback Statute, the Stark Physician Self-Referral Law, and the False Claims Act (and related state laws), including active defense and representation during government investigations and negotiation and implementation of financial settlements and corporate integrity agreements (CIA)
• Issues unique to the behavioral health, developmental disabilities, and child welfare fields
• Issues unique to long term care facilities, hospice and palliative care providers
• Issues unique to academic medical centers
• Health care operational issues
• Charitable and tax-exemption issues including an in-depth practice in the area of real property acquisition and disposition
• HIPAA privacy and security matters, as well as health information technology
• Antitrust and competition
• Legislative and government relations matters
• Asset purchases and similar transactions involving physician practices and other providers, including change of ownership (CHOW/CHOP) issues
• Corporate structure and governance issues
• Physician employment models and collaborations
• Certificate of Need (CON) applications, as well as defending and challenging CON matters
• Medical staff bylaws and credentialing matters
• Professional services, independent contractor, and employment agreements with physicians and physician groups
• Employee benefits and executive compensation arrangements
• Management services organizations (formation and contracting), as well as provider network management
• Medicare/Medicaid enrollment, coverage, reimbursement and billing issues
• Managed Care contracting and third-party payor arrangements
• Tax-exempt bond financings
• Governmental and internal investigations and audits, including responding to search warrants and subpoenas

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