Healthcare law is highly regulated in the US, and attorneys for doctors can provide valuable support in a range of legal matters. From navigating complex transactions, defending against Medicare fraud audits and investigations to providing guidance on Medicare and Medicaid reimbursement, advising on compliance issues, etc., appointing an attorney can greatly help providers.
In this blog, we look at some specific ways in which attorneys support doctors.
Legal Support During Joint Ventures
Navigating procedures involved in joint ventures, mergers and acquisitions of hospitals and healthcare companies can be quite challenging; this is where hiring lawyers for doctors makes a wise decision. From designing and negotiating the physician-hospital alignment arrangements to drafting all the paperwork for joint ventures and partnerships, health plans, employee contracts, etc., they provide doctors with all the support required for every transaction involved.
Legal Support During Audits
Every investigation into accusations of healthcare fraud begins with a review of allegedly fraudulent transactions. These accusations and subsequent reviews can take place under multiple laws like the False Claims Act, Anti-Kickback Statute, Stark Law, etc. Attorneys for doctors provide the right advice to manage these reviews. They also initiate negotiation and settlement talks that prevent litigation and save time and money.
Legal Support for Medicare Reimbursement
To understand the regulations surrounding Medicare and Medicaid Reimbursement, lawyers for doctors can provide the needed guidance. They also help doctors ensure that they comply with all the applicable regulations. Additionally, they provide legal support and advice regarding copayments, coinsurance, and deductibles that patients are responsible for paying.
Legal Support for Compliance
Multiple laws a physician’s medical practice and set out rules and regulations that doctors must follow. Any default in complying with these rules will amount to violation of various healthcare laws and can lead to loss of license and right to practice. To avoid such a situation, physicians hire attorneys who come up with a compliance plan for their practice. This ensures that every statute that is related to the course of practice is complied with. Additionally, they also help negotiate contracts with managed care organizations and provide guidance on regulatory compliance related to these contracts.