Skip to Main Content

In Brief: A Digest of Children's Hospitals and Pediatric Providers Projects

Client Success
  • Consult on physician integration initiatives and collaborate with valuation experts to apply fair market value principles to pediatric employment, professional services and other affiliation arrangements.
  • Structure and develop pediatric provider networks designed for Medicaid managed care and/or commercial payor contracting.
  • Represent Medicaid providers in supplemental reimbursement Disproportionate Share Hospital (DSH) appeals and consult on Upper Payment Limit (UPL) program development.
  • Design and develop patient safety organizations unique to children’s hospitals.
  • Design, develop and evaluate compliance with federal research regulations (informed consent/IRB issues), NIH Grants Policy Statements, and federal investigations involving pediatric research.
  • Structure and develop subsidiaries and joint ventures to commercialize research developments by children’s hospitals.
  • Advise on intellectual property and software licensing matters relating to children’s hospitals and unique pediatric care technologies and procedures.
  • Provide counsel regarding GME matters, including community provider/educational institution affiliation models, funding and resident allocation considerations, resident and medical student supervision requirements and appropriate billing practices as they relate to teaching physicians and academic institutions.
  • Advise on day-to-day operational issues impacting pediatric providers such as consent, guardianship and child abuse/ neglect reporting requirements.
  • Provide guidance regarding regulatory compliance with the Stark Law, False Claims Act, Anti-kickback Statute, and reimbursement rules, with a focus on aspects unique to healthcare providers to children.