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| Health Law |
| Medicare and Third-Party Payor |
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| Practice Group Chair(s)/Contact Person(s): |
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Whitfield & Eddy’s health law attorneys have expertise in coverage, payment and reimbursement matters as well as counseling on the requirements under governmental programs. Special emphasis is placed on corporate compliance issues related to participation in governmental programs.
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Services:
- Advise on proposed changes in entity structure as may impact reimbursement
- Assist in appeals of payment denials and overpayment determinations
- Negotiate with regional offices on de-certification issues
- Prepare documents for participation with federal and state programs
- Represent clients in response to surveys, certifications and licensure issues
Industries Represented:
- General Medical & Surgical Hospitals
- Health Services
- Home Health Care Services
- Hospitals
- Medical Laboratories
- Misc. Health & Allied Services
- Nursing & Personal Care Facilities
- Offices & Clinics of Doctors of Medicine
- Skilled Nursing Care Facilities
- Specialty Outpatient Facilities
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Cases and Transactions:
- We have successfully represented various health care professionals before their licensing boards in actions to restrict their licenses.
- We investigated and provided counsel to a county hospital with regard to extensive medical staff and employment related issues.
- We have acted as general counsel to various governmental and private health care entities advising on regulatory, employment, licensure, and contractual issues.
- We are representing a health care entity on a negligent construction claim.
- We have successfully negotiated a consent decree with the State of Iowa preventing loss of a nursing facility’s license to operate.
- We have negotiated settlement agreements in breach of contract claims.
Additional Resources:
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The determination of the need for legal services and the choice
of a lawyer are extremely important decisions and should not be
based solely upon advertisements or self-proclaimed expertise. This
disclosure is required by rule of the Supreme Court of Iowa. Memberships
and offices in legal fraternities and legal societies, technical
and professional licenses, and memberships in scientific, technical
and professional associations and societies of law or field of practice
does not mean that a lawyer is a specialist or expert in a field
of law, nor does it mean that such lawyer is necessarily any more
expert or competent than any other lawyer. All potential clients
are urged to make their own independent investigation and evaluation
of any lawyer being considered. This notice is required by rule
of the Supreme Court of Iowa.
