services & industries that add up

Health Care

We offer a multi-faceted health care practice, representing a wide variety of health care providers on an extensive range of issues. The Health Law Section is composed of attorneys with extensive experience in every aspect of health law and with in-depth knowledge of current industry developments and issues. The Section is committed to meeting the needs of health care clients in every facet of their business. In addition to health care experience, we offer clients the advantages of a multi-disciplinary business firm, with supporting legal counsel available in the areas of corporate, tax, public finance, employment, employee benefits, and real estate.  

The Health Law Section represents and counsels a full range of health care providers and practitioners,including:  hospitals and health systems, physicians and other medical professionals, physician practices, managed care organizations, provider associations, nursing homes, home health agencies, long term care facilities, intermediate care facilities, cancer treatment centers, providers of mental health and substance abuse treatment services, and ambulatory surgery facilities.  The breadth of the Section's experience encompasses state and federal regulatory and compliance issues, administrative dispute resolution and administrative appeals, state and federal civil litigation, rulemaking, operational and transactional matters, restructuring, joint ventures, integrated delivery systems, managed care, provider credentialing, peer review, medical staff issues, employment, and recruiting.  Our health care team has extensive experience in working with federal and state administrative departments and agencies, as well as fiscal intermediaries, carriers and insurers on a wide range of regulatory issues.  The Section assists clients in developing and providing practical, customized and forward-looking strategies for compliance with state and federal laws and regulations pertaining to Medicare, Medicaid, fraud and abuse, E-Health and HIPAA, certificate of need, patient/resident rights, and state licensing, administration and insurance requirements.

Physicians & Licensed Professionals 

Poyner Spruill represents health care professionals, including physicians, surgeons, dentists, pharmacists, psychologists, counselors, social workers, physical therapists, respiratory therapists, and nurses in all aspects of their professional lives. Our health lawyers help their clients organize their businesses, draft contracts, negotiate employment arrangements, and negotiate their departures from employment. We help them with office leases, equipment leases, and supply contracts. We handle mergers and acquisitions. 

Poyner Spruill lawyers advise their health care clients with respect to all aspects of the federal and state regulations governing them as individual providers and governing their businesses. This includes billing, coding, Medicare, Medicaid and Tricare reimbursement, insurance, and recoupment. It includes the Stark law, referrals, the anti-kickback law, and false claims. It also includes questions of privacy and confidentiality under HIPAA, consent to treatment, and advance care directives. 

We represent all sorts of individual practitioners in disputes with hospitals, medical staffs and other individuals. 

Our lawyers appear on behalf of their professional health care clients in all state and federal courts, before state and federal administrative law judges, before all the state professional licensing boards, such as the Medical Board, the Dental Board, the Pharmacy Board, and the Psychology Board, and in hospital hearings. We handle matters with the OIG, CMS, carriers, intermediaries, RAC’s, and the NC Department of Health & Human Services. Our lawyers encourage alternative forms of dispute resolution and often serve as arbitrators, mediators and hearing officers. 

Hospitals 

Poyner Spruill represents hospitals and surgery centers of all sizes, including specialty hospitals and mental hospitals. Our clients range from academic medical centers and large tertiary care facilities to those with no more than 100 beds. Poyner Spruill lawyers help their hospital clients with all their operational legal issues, including HIPAA and other privacy and confidentiality issues, EMTALA, risk management and other treatment issues, consent to treatment, refusal of treatment, child abuse reporting, competency, advance directives and end of life issues. Our lawyers will arrange to be on call to handle emergent issues after hours and on weekends. 

Poyner Spruill also represents hospitals on all aspects of government regulation, including Medicare, Medicaid & Tricare reimbursement, insurance, fraud & abuse, Stark, anti-kickback, false claims, and corporate compliance. Poyner has an especially active CON practice. 

Our lawyers also handle all the general business aspects of hospital law, including employment, employee benefits, construction, contracts, leases, joint ventures, sales, mergers and acquisitions. 

Our lawyers appear on behalf of their hospital and provider clients in all state and federal courts, before state and federal administrative law judges, and in hospital medical staff hearings. We handle matters with the OIG, CMS, carriers, intermediaries, RAC’s, and the NC Department of Health & Human Services. Our lawyers encourage alternative forms of dispute resolution and often serve as arbitrators, mediators and hearing officers. 

Long Term Care 

Poyner Spruill represents continuing care retirement communities, nursing homes, and assisted living facilities, and their professional associations. Poyner Spruill lawyers help their long term care clients with all their operational legal issues, including HIPAA and other privacy and confidentiality issues, risk management and other treatment issues, consent to treatment, refusal of treatment, patient abuse and reporting, competency, advance directives and end of life issues. 

Poyner Spruill also represents long term care facilities on all aspects of government regulation, including Medicare & Medicaid reimbursement, insurance, fraud & abuse, Stark, anti-kickback, false claims, and corporate compliance. Poyner has an especially active CON practice. 

Our lawyers also handle all the general legal aspects of long term care, including employment, employee benefits, construction, contracts, leases, joint ventures, sales, mergers and acquisitions. 

Our lawyers appear on behalf of their long term care clients in all state and federal courts, and before state and federal administrative law judges. We handle matters with the OIG, CMS, carriers, intermediaries, RAC’s, and the NC Department of Health & Human Services. Our lawyers encourage alternative forms of dispute resolution and often serve as arbitrators, mediators and hearing officers. 

Home Care & Hospice 

Poyner Spruill represents a wide range of home care and hospice providers, and their professional associations. Poyner Spruill lawyers help their home care and hospice clients with all their operational legal issues, including HIPAA and other privacy and confidentiality issues, risk management and other treatment issues, consent to treatment, refusal of treatment, patient abuse and reporting, competency, advance directives and end of life issues. 

Poyner Spruill also represents home care and hospice with all aspects of government regulation, including Medicare & Medicaid reimbursement, insurance, fraud & abuse, Stark, anti-kickback, false claims, and corporate compliance. Poyner has an especially active CON practice. 

Our lawyers also handle all the general legal aspects of home care and hospice, including employment, employee benefits, construction, contracts, leases, joint ventures, sales, mergers and acquisitions. 

Our lawyers appear on behalf of their home care and hospice clients in all state and federal courts, and before state and federal administrative law judges. We handle matters with the OIG, CMS, carriers, intermediaries, RAC’s, and the NC Department of Health & Human Services. Our lawyers encourage alternative forms of dispute resolution and often serve as arbitrators, mediators and hearing officers. 

Other Corporate Providers 

In addition to individual practitioners, hospitals, long term care facilities, home care and hospice, Poyner Spruill health lawyers represent a variety of free standing facilities and corporate health care providers, such as dialysis centers, radiation therapy centers, imaging centers, urgent care, concierge medical services, chiropractic facilities, podiatrists, and physical therapy providers. 

Poyner Spruill lawyers help their clients with all their operational legal issues, including HIPAA and other privacy and confidentiality issues, risk management and other treatment issues, consent to treatment, refusal of treatment, patient abuse and reporting, competency, advance directives and end of life issues. 

Poyner Spruill also represents these providers with all aspects of government regulation, including Medicare & Medicaid reimbursement, insurance, fraud & abuse, Stark, anti-kickback, false claims, and corporate compliance. Poyner has an especially active CON practice. 

Our lawyers also handle all the general legal aspects of these health care businesses, including employment, employee benefits, construction, contracts, leases, joint ventures, sales, mergers and acquisitions. 

Our lawyers appear on behalf of their provider clients in all state and federal courts, and before state and federal administrative law judges. We handle matters with the OIG, CMS, carriers, intermediaries, RAC’s, and the NC Department of Health & Human Services. Our lawyers encourage alternative forms of dispute resolution and often serve as arbitrators, mediators and hearing officers.

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