Healthcare Regulatory Compliance
In addition to their extensive experience in the state and federal laws and regulations that govern Emergency Medical Services and other healthcare entities our attorneys are experienced healthcare providers with graduate degrees in health and public administration. This unique background is certain to help you by allowing us to familiarize ourselves quickly with your unique situation and reach cost-effective solutions.
Our experience includes:
- State EMS statutes and regulations
- State healthcare statutes and regulations
- OSHA Regulations governing infection control, respiratory protection, hazardous materials, confined spaces and more.
- HIPAA – Health Information Portability and Accountability Act
- EMTALA – Emergency Medical Treatment and Active Labor Act
- Electronic Medical Records / ePCR Systems, including ImageTrend and emsCharts
- State and federal employment laws affecting the healthcare industry
As one of the biggest challenges in healthcare, the issue of reimbursement is a constant concern for our clients. Counseling them and helping them navigate this territory is one of our largest practice areas. These issues include Medicare and Medicaid compliance, as well as matters involving commercial insurance and third-party payors. Some examples of matters that we typically handle are:
- Bundled Billing Agreements
- Agreements with Outside Billing Companies
- Medicare Appeals
- Third-Party Payor Overpayment Demands and Audits
- Demands involving Statistical Extrapolation
- False Claims Act cases and Qui Tam Actions
We also provide training on EMS documentation for compliance purposes that focuses on clinically-relevant documentation to support your reimbursement and be legally defensible.
Organizational Licensure and Credentialing
Whether your organization is seeking initial New Jersey licensure or Medicare certification, or working to gain national accreditation, we can guide you through it, and make sure your changes meet the new standards, as well as the laws governing your new organizational status.
Organizational Governance and Policies
Your company, agency, or department may need assistance in drafting, updating, and revising governing documents, including corporate charters and bylaws. Our attorneys can assist you at any point in this process, from initial stakeholder input to limited revision of documents.
We can also assist in preparing and revising policies, procedures, and other operational guidelines to ensure that they are current, valid, and legal.
Employment issues are a major concern for healthcare agencies, including EMS providers. Our attorneys are experienced in all aspects of employment law, discrimination and harassment law, hiring and separation issues, wage and hour issues, social media concerns, and more.
We conduct outside investigations, specifically in the public safety and healthcare areas, under the attorney-client relationship.
We also provide training and education programs tailored to your needs on topics of workplace culture, social media awareness, patient-provider boundary issues, and more.
Contracting and RFP Support
Our team has extensive experience in contracting matters. This includes drafting and reviewing contracts, as well as requests for proposals, from both the contractor and contractee perspectives. Contracts include service contracts, ePCR vendors, vehicle contracts, and equipment contracts.
We are also experienced in preparing and responding to public contract requests for proposals (RFP). There are numerous common pitfalls associated with public contracting, such as the federal Anti-Kickback Statute, that our attorneys can help you avoid.
Provider Licensure and Credentialing
When faced with representation before a professional licensing board or other credentialing body, you need expert representation from attorneys with healthcare experience. Our attorneys have successfully brought matters before licensing boards, state departments, and other agencies for Initial Investigation or Preliminary Investigative Committee (PEC) hearings, all the way through full trials before an Administrative Law Judge (ALJ) in the Office of Administrative Law. Our experience includes physicians, nurses, paramedics, EMTs, social workers, physical therapists, and more. This includes representation at the Office of EMS and National Registry of EMTs.
You may already be involved in active litigation involving our areas of expertise, including administrative, civil or criminal matters. Our attorneys can support your existing litigation team, bringing our special knowledge and expertise to bear on your behalf to obtain the best outcome.