Compliance Plan Development & Fraud and Abuse Prevention & Defense
There is ever-increasing scrutiny by federal and state regulators of the claims filed by institutional providers and healthcare professionals. It is essential to assure that claims for services are consistent with healthcare laws and regulations. The development of stringent, complex, and sometimes conflicting laws and regulations governing healthcare make proactive steps, such as the adoption of compliance plans, essential to all healthcare providers.
The healthcare attorneys of Sullivan Stolier assist clients in developing compliance programs appropriate to their operations. Compliance programs consist of a number of elements, including, but not limited to, standards of conduct, education and training, periodic audits, and appropriate response to audit exceptions. Each element must address the standards applicable to the particular healthcare provider, including such topics as Medicare and Medicaid billing, Medicare provider participation requirements, and health information privacy and security standards. The firm assists clients with a broad range of government laws and regulations, including:
- Compliance Plans and Confidential Medical Records Audit Reports
- Healthcare Reform Laws, including the American Recovery and Reinvestment Act of 2009, and the Patient Protection and Affordable Care Act
- HITECH Act
- Civil Monetary Penalties Law
- Health Insurance Portability and Accountability Act (HIPAA)
- Stark Law
- Federal Anti-Kickback Statute
- Federal False Claims Act
In addition, the firm's healthcare lawyers provide clients with guidance on structuring investments and transactions as well as documentation and billing practices. In doing so, the firm can arrange for consults with valuation and claims filing experts on behalf of its clients.
Dispute Resolution and Litigation Services
While the firm's philosophy and practice is to provide preventive advice to its clients, the firm routinely assists clients in resolving Medicare and third party payor investigations by RACs, MACs, ZPICs, as well as the United States Department of Justice and the Office of Inspector General.
Contact Sullivan Stolier
The firm's health law practice is national in scope with offices in New Orleans and Lafayette, Louisiana, with satellite offices in Pittsburgh, Pennsylvania and Dallas, Texas. To speak with a healthcare compliance attorney, contact Sullivan Stolier.
