Hospice & Palliative Care

Because of our deep experience representing clients in audits and investigations, we are able to cost-effectively review statistical extrapolations for accuracy. Our seasoned counsel works efficiently and cost-effectively to negotiate the following audits:

• Unified Program Integrity Contractor (UPIC)
• Supplemental Medical Review Contractor (SMRC)
• Medicaid Integrity Contractor (MIC)
• Medicare Administrative Contractors (MAC)

Our experienced and multidisciplinary legal team collaborates to negotiate, draft and review sophisticated and customized agreements that allow hospice and palliative care providers to conduct day-to-day business, adapt to regulations and grow their organizations. Frequent services we provide include:

• Mergers & acquisitions
• Joint ventures
• Strategic alliances
• Vendor and service agreements
• Employee and physician agreements

Our attorneys stay current with the shifting regulatory landscape and how hospice organizations can remain licensed, certified, enrolled and in compliance at a local, state and federal level. We work to proactively streamline operations:  

• Corporate governance
• Quality Assessment and Performance Improvement (QAPI) programs
• Medicare licensure, certification and enrollment
• Reimbursements, repayments and disclosures
• Risk identification and loss reduction

When unexpected claims destabilize ongoing business, our attorneys serve as fierce advocates and seasoned crisis managers. Our legal team navigates suspended payment, risk and exposure while defending clients before local, state and federal judicial, quasi-judicial, administrative and legislative bodies regarding a wide range of issues including:

• Whistleblower complaints
• Anti-Kickback Statute (AKS)
• Stark Law
• False Claims Act (FCA)
• Investigations & audits