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Overview

Ragini helps healthcare clients navigate complex compliance and transactional matters.

Ragini counsels hospital systems and physician practices of all sizes, individual providers, specialty care groups, home health and hospice agencies, ambulatory care centers and related clients in order to optimally position them for day-to-day operations and long-term growth. Focusing her practice on regulatory issues, Ragini advises on cost-effective proactive compliance and advocates for clients before state and federal agencies when they face claims that threaten to interrupt patient care. Regulatory and risk management issues Ragini handles include:

  • False Claims Act (FCA)
  • Anti-Kickback Statute (AKS)
  • Stark law
  • Licensing and credentialing
  • Privacy and security
  • Medicare/Medicaid reimbursement and enrollment

In addition to her healthcare regulatory practice, Ragini has extensive experience assisting clients with structuring and growing their business through joint ventures, mergers & acquisitions, and other changes of ownership. She drafts, negotiates, reviews and interprets a wide range of professional and administrative services agreements, health care shareholder and associate-level employment agreements, professional services agreements and management agreements for clients throughout the healthcare space. What she most enjoys about working in this area of the law is helping move quality patient care forward.


Industries

Services

Education

  • J.D., University of Virginia School of Law
    • Virginia Tax Review, Membership Editor
    • Health Law Association
  • B.A., College of William and Mary
    • magna cum laude
    • Division I Women’s Varsity Tennis Team
    • Student-Athlete Advisory Committee
    • Dean’s List
    • All-Conference Women’s Tennis Scholar-Athlete of the Year

Admissions

  • Colorado
  • North Carolina

Professional Associations and Memberships

  • Women Lawyers of Charlotte, Board Member
  • North Carolina Bar Association, Health Law Section
  • Colorado Bar Association, Health Law Section
Experience

Healthcare Regulatory

  • Advised client regarding prescription renewal requirements and batch transfers in connection with multi-state pharmacy asset sale.
  • Prepared advocacy letters to government and commercial payors addressing internal claim audits and overpayment concerns due to ambiguity with Local Coverage Determination (LCD) and national coverage determination (NCD) guidance regarding safety and effectiveness of medical devices associated with service.
  • Drafted co-management agreement for management services between LLC and hospital surgical service line including performance metrics and incentives.
  • Advised behavioral health provider on use of promissory notes to pay for patient travel and implications of federal and state prohibitions on beneficiary inducement.
  • Researched Missouri respiratory care practitioner scope of practice authority laws to determine whether Accountable Care Organization (ACO) could employ respiratory therapist for certain dietician services.
  • Performed regulatory due diligence and legal research for incorporation and formation of professional entities, including summary of laws associated with corporate practice of medicine doctrine in connection with setting up behavioral health services entities in various states.
  • Reviewed state pharmacy laws and dialysis facility requirements to determine whether dialysis facility is required to hold license to administer or supply oral drugs to patients in facility.
  • Analyzed payor contracts in connection with name change of nephrology healthcare practices in various states for notice and consent requirements.
  • Researched change of ownership in connection with stock transfer for Arizona outpatient treatment centers and state radiation registrations/regulations.
  • Researched emergency medical services laws in Tennessee and Virginia as to whether and under what conditions a stock sale triggers a change of ownership.

Corporate/Healthcare Transactional

  • Navigated $125 million equity sale of multi-location specialty pharmacies to private equity fund.
  • Represented private equity–owned national optometry practice management company in multiple acquisitions, including $62.5 million asset purchase with 36 locations across Indiana and $45 million asset purchase with 21 locations across Ohio and Kentucky.
  • Negotiated investment capital for new-growth healthcare technology company.
  • Represented radiation oncology group practice in corporate governance, restructuring and operational matters including $15.6 million equity sale in connection with joint venture with hospital.
  • Guided orthopedic/neurosurgery group practice in $20 million sale of ambulatory surgery center equity interests.
  • Helped medical device manufacturer in equity sale to middle market private equity firm.
  • Assisted private equity fund in $15 million acquisition of equity in speech pathology services business.
  • Represented ophthalmology and ENT specialty outpatient surgery center in $12.2 million equity sale to eye care practice management company.
  • Guided dental practice in analysis of material provisions in credit and loan agreements and draft of confidentiality.
Outside the Office

Ragini is an intermediate (Blue) skier and hikes Colorado’s 14ers. She enjoys time with her husband and young son.

Community Leadership
  • Humane Society of Charlotte (HSC), Young Affiliated Professionals (YAP)