At Frontier Health Law we have experience navigating our health care clients through the maze of rules and regulations involving referral relationships, fraud and abuse, provider reimbursement issues, licensing and certification issues, and health information privacy and security. We help our clients develop, evaluate and update compliance programs and policies, and also offer compliance reviews to identify any gaps, relating to:
Corporate Compliance Programs
At Frontier Health Law we perform regulatory due diligence to health care transactions addressing state licensing, certificate of need (CON), and Medicare provider status issues. Furthermore, certain federal and state programs such as Medicare, Medicaid, the Health Insurance Portability and Accountability Act (HIPAA), and the Health Information Technology for Economic and Clinical Health Act (HITECH), mandate Corporate Compliance Programs, which also serve as evidence of best practices for organizations. At Frontier Health Law we assure timely review and responses to billing errors or information breaches, while working with Compliance Officers in enforcing such Corporate Compliance Programs.
We counsel our health care clients on the issues pertaining to HIPAA, HITECH, and Nevada laws governing privacy of personal medical information. We offer assessement, training and implementation of HIPAA and HITECH compliance.
Fraud and Abuse
At Frontier Health Law, we have comprehensive understanding of the federal fraud and abuse laws, including the federal Anti-Kickback Statute, Stark Law, and False Claims Act. Our knowledge and experience extends to Nevada specific fraud and abuse laws, including the Nevada’s “mini” Stark law and the corporate practice of medicine. Hence, our clients trust us to structure such transactions and physician relationships, hospital-physician joint ventures, physician ancillary services, and physician compensation arrangements within the four corners of the law during the due diligence process.
At Frontier Health Law we work with physicians, non-physician practitioners and other health care entities on billing and reimbursement matters arising under Medicare, Medicaid, and other governmental health programs. We also represent our clients in connection with inquiries and investigations by the Centers for Medicare and Medicaid Services (CMS), Medicare intermediaries and carriers and in defending RAC audits, ZPIC audits, and Medicare, OIG and other governmental agency investigations.