We represent physicians, psychologists, physical therapists, and other health care professionals facing a complaint or investigation by a state regulatory agency.  We also have experience representing students in the health care field with academic expulsion and suspension appeals.

At Williamson Health Law, we assist health care providers, businesses, and professionals with their compliance needs. Examples of our services include:

• Drafting Compliance Programs tailored to the client's organization.
• Conducting compliance audits.
• Developing and conducting Compliance Program training.
• Leading compliance investigations and responding to identified problems.
• Counseling providers with regard to sensitive refund and disclosure issues.
• Drafting compliant contracts and internal policies.

We have experience preparing, negotiating, and advising on health care contracts, including:

• Employment and Independent Contractor Agreements
• Management and Administrative Services Agreements
• Billing Services Agreements
• Equipment and Space Lease Agreements
• Confidentiality and Non-Disclosure Agreements
• Clinical Trial Agreements
• Medical Records Custody Agreements

We also consult with and assist business & transactional, employment, litigation, criminal defense, and other attorneys on health care regulatory and compliance issues impacting their representation of health care industry clients in a variety of matters, including:

• Entity Formation
• Mergers, Acquisitions, and Sales
• Joint Ventures
• Stark and Fraud & Abuse Opinions
• Contracts
• Health Care Fraud
• Licensing Defense

We advise health care providers and suppliers on compliance with Stark and the Anti-Kickback Statute, including:

• Advice regarding self-disclosures under the Stark Self-Referral Disclosure Protocol and the OIG’s Provider Self-Disclosure Protocol.
• Analysis of a variety of arrangements under Stark ownership and compensation exceptions, and Anti-Kickback Statute exceptions and safe harbors. 

We advise health care providers, suppliers, and professionals on a variety of regulatory and compliance issues.  Examples include:

• Voluntary disclosures of overpayments to the MAC.
• Compliance with and interpretation of Medicare, Medicaid, Blue Cross, and other payor rules and regulations.
• Counseling on Medicare rules for provider-based status and “under arrangements”.
• Billing for services rendered in provider-based and freestanding clinics.
• Billing for and supervision of services rendered by mid-level providers.
• Medical record retention questions and policies.
• Reimbursement issues for SNFs and urgent care centers.

We assist Covered Entities and Business Associates with HIPAA and HITECH compliance, including:

• Responding to OCR complaints.
• Handling HIPAA breaches, including  preparation of required notifications to patients and DHHS.
• Drafting policies, procedures, and forms required by the HIPAA Privacy and Security rules.
• Drafting and negotiating Business Associate agreements.
• Conducting HIPAA compliance audits and training.

We have over 20 years of experience advising and defending health care providers and professionals in Medicare and private payor post-payment audits and overpayment appeals.  We also assist health care providers and professionals, including physical therapists, with appeals of disaffiliation and departicipation determinations by health plans.

We have experience representing health plans. Our experience includes:

• Negotiating Pharmacy Benefit Management, Affiliation, and Vendor Agreements.
• Drafting and advising on Medicare Advantage, Exchange, and Commercial payment policies.
• Advising on rebate and other arrangements with pharmaceutical companies