Health Law

“I am extremely pleased to work with such a responsive group of attorneys. It is evident in every interaction with them that they are truly concerned about helping us achieve our organization’s goals. They know our business and they know our history.”

Dr. Roby C. Thomson, Jr.
MD & Former CEO
University of Minnesota Physicians

Forbes, September 18, 2006
 


 

The Gray Plant Mooty health care team is dedicated to providing the best client value by offering unmatched expertise, deploying an enthusiastic and talented team tailored to each project. We regularly help our clients—from large multistate delivery systems and health plans to solo rural practitioners—resolve complex regulatory issues, and we work proactively to help implement sensible plans for the future in an ever-shifting regulatory landscape. We take a practical, collaborative approach, working alongside our clients to understand their businesses and empower them to pursue their missions with confidence.

Our areas of deep expertise include health care compliance and regulatory matters, health care transactions, and health care litigation. We also regularly provide general counsel services to our health care clients and assistance on a wide range of routine business matters, including labor and employment, benefits, and real estate issues.

Health Care Compliance & Regulatory Defense

Health care providers in the United States offer their services and conduct their businesses in an environment of ever-changing and highly technical laws and regulations, state and federal oversight, and political and public scrutiny. Gray Plant Mooty’s health care team understands that when it comes to compliance, the rules are complex and the stakes are high. We routinely help our clients develop compliance plans and guide them through responding to and defending against federal and state regulatory inquiries.

Our expertise includes:

  • Federal and state fraud and abuse laws
  • Stark and Anti-kickback
  • Government investigations
  • False Claims Act
  • HIPAA privacy and security
  • Medicare and Medicaid reimbursement rules
  • Patient rights, including vulnerable adult and child protection laws
  • Medical staff issues
  • Tax and tax exemption law
  • Antitrust law
  • Facility and provider licensing
  • Provider, vendor, and managed care contracting

Health Care Transactions

The Gray Plant Mooty health care team provides the highest levels of expertise, experience, and specialization in virtually every type of health care contracting relationship, merger, acquisition, and joint venture. Whether it involves negotiating the terms of a physician practice sale to or by a hospital, a long-term professional services or management agreement, adding a hospital to an existing system, adding an additional service or location, forming hospital-physician joint ventures, or enabling providers to collaborate in bringing new services to the community, the Gray Plant Mooty Health Care team provides the expertise, leadership, and creativity critical to developing strategies that meet the challenges presented by such transactions.

Our expertise includes:

  • Affiliations, joint ventures, and collaborations
  • Mergers and acquisitions
  • Health care financing
  • Facility and provider licensing
  • Provider, vendor, and managed care contracting

Health Care Litigation

Our health care litigation specialists provide our clients in the health care field with knowledgeable, practical representation. The litigators on the health care team represent health plans, hospitals, clinics, physician groups, individual health care professionals, and other providers in litigation, before state licensing boards and administrative bodies, and in responding to civil and criminal investigations.

Our expertise includes:

  • Qui tam and whistleblower defense
  • Government and internal investigations
  • False Claims Act
  • Federal and state fraud and abuse laws
  • Matters before state licensing boards
  • Patient rights, including vulnerable adult and child protection laws
  • Medicare enrollment, billing, reimbursement, and participation disputes
  • Licensing and credentialing disputes

Representative Clients

  • Hospital systems and integrated delivery systems
  • Hospitals: public, private, general, and specialty
  • Large and small physician groups
  • Long-term care providers
  • Academic medical centers
  • Specialty clinics
  • Health care franchises
  • Faculty practice plans
  • Foundations
  • Group homes
  • Specialty home care providers
  • Home health agencies
  • Managed care organizations
  • Therapy providers
  • Dentists and dental clinics

Strategic Consulting Partnerships

Gray Plant Mooty’s Health Care team is consultative and creative by nature, providing several options for resolving a situation. As a result, to better serve our clients, we have established a series of partnerships with key outside consultants. These consultants have extensive experience in the following areas:

  • Coding and reimbursement
  • Medical review
  • Strategic planning
  • Board training
  • Development
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