The medical profession is changing. Physicians, non-physician practitioners, and provider-related businesses are faced with legal, financial, regulatory, and cultural changes. The consolidation of the health care profession industry, driven in large part by the Affordable Care Act and Medicare efforts to drive down the cost to federal programs, presents unique challenges to physicians. The relationships between providers, patients, and payers are shifting to accommodate these changes. We have broad experience in counseling physicians in establishing relationships in integrated settings.
At the same time, providers are faced with a variety of audits, refund demands, compliance reviews, and other enforcement activities of the regulatory agencies and third party payers. We regularly assist providers in responding to and defending such actions, as well as providing assistance in establishing compliance training and plans to avoid pitfalls in many practice areas governed by payer and regulatory authorities.