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Health Care Regulatory
Operating in the health care industry today means navigating a highly complex and constantly evolving array of federal, state and local laws and regulations. Katten's Health Care Practice provides sophisticated counsel to health care clients in virtually all manner of regulatory compliance and enforcement issues. We routinely advise on physician self-referral laws, fraud and abuse laws, corporate practice of medicine and fee-splitting prohibitions, HIPAA privacy, charitable trust law, private inurement, private benefit and excess benefit restrictions, antitrust, licensure, accreditation, Medicare and Medicaid reimbursement, certificate of need/certificate of exemption laws, and medical staff bylaws issues.
Katten attorneys serve as legal counsel to a wide variety of health care organizations involved in the delivery and financing of health care. We advise clients on a multitude of regulatory issues associated with mergers and acquisitions, joint ventures, physician recruitment, acquisition of physician practices, physician contracts, physician practice management arrangements, governmental investigations and audits, whistleblower suits, Medicare and Medicaid coverage and reimbursement requirements, attorney general investigations, corporate governance/fiduciary duty issues, corporate compliance matters, and medical staff disputes. Our broad base of experience enables us to provide comprehensive, insightful and cost-effective legal services to health care clients. Whether you need sophisticated advice to develop a business model that clears regulatory hurdles, or a seasoned veteran to defend an enforcement action or respond to a regulatory challenge, we can help.
Professionals
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Chicago
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Chicago
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New York
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New York
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New York
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Chicago
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Chicago
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New York
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New York
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Chicago
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New York
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Chicago
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Chicago
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New York
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New York
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May 24, 2013
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Advising clients on Medicare billing and reimbursement rules as they impact current operations or proposed structures.
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Advising clients on the application of certificate of need laws, including assistance in obtaining timely CON/COE approvals and representation before the Illinois Health Facilities Planning Board.
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Advising clients prospectively or in the event of a survey on licensure and Medicare/Medicaid certification matters, as well as Joint Commission accreditation guidelines.
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Advising clients’ internal corporate compliance officers in handling actual or potential compliance issues, including working with auditors and managing the self-disclosure process, if necessary.
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Assisting clients in avoiding exposure to federal “intermediate sanctions” in connection with transactions between exempt individuals and board officers and directors, or with key physicians.
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Developing and implementing joint venture models and other integration strategies between hospitals and physicians consistent with Stark, anti-kickback, tax-exemption and other regulatory limitations.
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Representing clients in state attorney general charitable trust investigations of transactions between for-profit and nonprofit health care organizations.
Advising clients prospectively on managing the potential of an attorney general investigation and/or challenge.
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Representing clients targeted by government audits and investigations.
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Structuring and negotiating a wide variety of physician employment and independent contractor arrangements with hospitals, clinics, for-profit management companies and others,
to comply with Stark, fraud and abuse, state self-referral, corporate practice of medicine, fee-splitting and other regulatory requirements.
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Structuring income guaranty, loan and other physician recruitment arrangements to comply with Stark, anti-kickback and tax-exemption limitations. We have also conducted legal compliance audits of clients' existing loan and income guaranty arrangements.
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Working with institutional review boards and human investigation committees as they examine medical research activities.
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