R. Brent Rawlings

Representation of a community hospital in preparing and submitting a Stark Self-Referral Disclosure Protocol (SRDP) filing with Medicare in relation to an affiliation with a for-profit hospital chain.

Representation of a community hospital in an affiliation with large nonprofit healthcare system managing due diligence review, regulatory analysis of underlying arrangements and transactions and required regulatory filings.

Representation of a large academic medical center in appeal of medical necessity denials by a state Medicaid plan resulting in overturning the entire overpayment amount of $1.5 million and award of attorneys’ fees.

Representation of a community hospital in drafting and negotiating professional service agreements and medical director agreements for various service lines and completing Stark and fraud and abuse analysis of physician compensation arrangements.

Representation of senior care provider in the development of a new continuing care retirement community in Virginia.

Representation of large academic medical center providing Medicare reimbursement counseling, directing internal investigations of overpayment cases, and assisting in response to government-led investigations.

Representation of a large academic medical center in development of a joint venture to provide stereotactic radiosurgery services with a non-profit healthcare system.

Representation of for-profit hospital chain in corporate restructuring of one of its hospitals, including facilitation of all regulatory and licensure aspects of transaction.

Representation of large academic medical center in drafting and negotiating a managed care agreement with its largest commercial payor.

Representation of physicians in development of a group practice, including corporate formation, drafting shareholders agreements, and compensation plans.