Our Healthcare team provides litigation, regulatory and transactional legal services to health insurers and providers in a variety of contexts.
d’QM’s litigation team regularly represents large health insurers in all types of healthcare related matters including benefits and provider litigation, fraud, overpayments, subrogation, affirmative actions against “egregious billers” and enjoining these “egregious billers” from fraudulently “balance billing.”
We are experienced in issues arising out of the business practices of the healthcare industry including hospital participation agreements, commercial, Medicare and Medicaid contracts, hospital networks, urgent care center claims, bundling, unbundling, downcoding, falsified claims, overpayment and underpayment issues, emergency room claims, in and out of network claims, HIPAA-related issues, and managed care litigation and arbitrations.
Our knowledge extends to most aspects of our clients’ insurance and managed care businesses. We work closely with clients to advise on high-profile or sensitive claims, appeals, and grievances.
d’QM’s regulatory and transactional team handles all types of healthcare related transactions, including but not limited to licensing, regulatory, transactional and contractual matters for healthcare clients. Services include assistance with initial state licensing and procurement of Medicare and Medicaid provider agreements, drafting sale and purchase documents, managing and handling closings, as well as the preparation and submission of notices related to changes of ownership or information. Our healthcare clients have the satisfaction and comfort of knowing their legal issues are being handled by highly experienced healthcare lawyers who will protect their best interests now and far into the future.
The successful operation of a healthcare company depends not only on providing quality services or products, but also on understanding the various laws and regulations the company must comply with. Preparing for and maintaining compliance with constantly changing federal and state laws and regulatory guidelines is essential as a healthcare business considers entering into any contract or transaction.
In such a highly regulated industry, it is important to have foresight and seek legal guidance at the earliest possible stage. Whether you are forming a new healthcare business, dealing with a change of ownership, we are prepared to assist you. The firm provides both proactive and reactive legal services for all types of businesses and practitioners in the healthcare arena.