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Healthcare Services
The healthcare system and healthcare providers at all levels continue to face rapid and dramatic changes. This is true, in part, because healthcare technologies and procedures are constantly changing, and the standards and costs of care are coming under closer scrutiny by state and federal agencies, employers, insurance companies and other third-party payors.
Practice arrangements, documentation requirements, payment criteria, and regulatory oversight are only a few of the areas undergoing frequent changes. Physicians are selling or merging their practices and forming provider organizations. Hospitals are merging, affiliating or establishing networks with specialty services. Employers are forming alliances to negotiate with providers and payors for employee benefits. Insurance companies, managed care organizations and public payors are demanding more efficient delivery of care and documentation of the efficacy and necessity of that care, while establishing rigorous approval or review processes and protocols.
Through our Healthcare Group, we work with individual and institutional healthcare providers as well as various consultants in the healthcare industry. We use a multi-disciplinary approach, which makes it easy to bring attorneys in from other practice groups to enhance our efforts in highly-specialized situations. We understand the healthcare system and the vast array of unique laws and regulations that affect relationships, care and payment for healthcare providers. We help physicians protect their rights and their relationships with patients. We help hospitals, mental health centers and nursing homes comply with various state and federal regulations. We help ancillary service providers contract with other providers. We also work with a variety of healthcare providers on regulatory enforcement, criminal investigations, audit responses and compliance matters. In other words, we have valuable and diverse experience in this rapidly changing environment, and we are prepared to help clients anticipate and respond to the changes that are yet to come.
HEALTHCARE SERVICES:
- Corporate Compliance
- Fraud & Abuse
- Joint Ventures
- Malpractice Defense
- Managed Care Contacts
- Medical Staff Privileges
- Mergers & Acquisitions
- Payor Audits
- Physicians & Medical Groups
- Professional Licensing
- Qui Tam Litigation
- Reimbursement Appeals
- Stark Laws
- Tax Exemption
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Primary Contact:
Susan E. Cline
Biography
317-237-3846
scline@locke.com
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