Healthcare Compliance, Regulation & Policy

Government oversight affects every aspect of the healthcare industry, from construction of new healthcare facilities to payment for medical services. With multiple regulatory bodies governing healthcare at both the state and federal levels — often with overlapping authority — providers and insurers are left to juggle numerous, constantly changing regulations and policies.

The healthcare attorneys at McGuireWoods have the knowledge and experience that healthcare providers and insurers need to achieve compliance with federal and state-specific regulatory requirements. Our group of more than 60 healthcare-focused attorneys advises clients on a full range of regulatory and policy issues, including:

  • Federal and state anti-kickback and fraud and abuse laws
  • Federal and state self-referral laws, including the federal Stark law
  • Restrictions on patient transfers, including the federal Emergency Medical Treatment and Active Labor Act (EMTALA)
  • Health Care Quality Improvement Act
  • Patient consent issues
  • Death and end-of-life issues
  • Corporate practice of medicine restrictions
  • Medicare and Medicaid conditions of participation
  • Federal and state privacy laws, including the Health Insurance Portability and Accountability Act (HIPAA)
  • False Claims Act
  • Food and Drug Administration (FDA) regulations
  • Employee Retirement Income Security Act (ERISA)
  • U.S. healthcare reform, including the Patient Protection and Affordable Care Act (PPACA)

We take full advantage of our firm’s national network of offices to represent clients in local, state and federal regulatory matters in jurisdictions throughout the United States. Given the rate of change and level of uncertainty in this highly regulated industry, we update our clients regularly on both national and local trends and pending legislation. We provide updates via frequent client alerts, help newsletters and blogs, including The Healthcare Investor.

Experience

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    Various hospitals and surgery centers

    Advised many hospitals and surgery centers regarding compliance and internal audit issues.

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    Various hospitals and surgery centers

    Advised many hospitals and surgery centers regarding hospital-physician contracts.

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    Various clients

    Assisted various clients in assessing the HIPAA and HITECH issues raised by the provision of mHealth services and in developing contractual and operational approaches to compliance.

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    Telecommunications company

    Counseled on HIPAA security compliance, and drafted and revised security policies.

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    Research and education foundation

    Assisted research and education foundation in securing a multimillion-dollar, multi-year grant from a medical device manufacturer to support clinical spine research and in developing a broader program to ensure industry compliance with the fraud and abuse laws in grant making.

Team Leaders

Full Team
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