Health Law attorneys represent health care providers before federal and state agencies that regulate the health care industry. Others work for government agencies, hospitals, pharmaceutical companies, insurance companies, medical equipment corporations, physician’s groups, home health agencies, nurses, clinical laboratories, home health agencies, or other organizations with a health care focus. Because health care policies in the U.S. are in a state of constant negative scrutiny, health care law is often perceived as being on the wrong side of the argument. The perception is not completely unearned since laws governing health care inevitably impact consumers. However, all actions of health law attorneys are not directed at protecting errant health providers; they are also responsible for assisting providers in remaining within the law both on the state and federal levels.
The Multi-faceted Role of Health Law Attorneys
- Help providers navigate the complex statutes, regulations, and policies that govern the various health care professions
- Create and implement Compliance Programs for health care providers
- Develop and maintain the standards that all providers and small group practices should implement to avoid retroactive audits and mitigate the impact of an audit
- Represent health care providers by appealing and challenging retroactive payer claim denials.
- Use knowledge of the law, experience, and understanding of payer policies and guidelines, and a network of coding and compliance experts to create an effective rebuttal to retroactive claim denials
- Defend health care providers who are being investigated and prosecuted
- Handle litigations, audits, and (provider) over-payment determinations
- Oversee professional licensure
- Monitor the legality of health care practice acquisitions
- Utilize business valuation experts and tax experts to help clients buy or sell health care practices
For a detailed rundown on the role of health law attorneys, check out this article.
The amount of money U.S. consumers pay for health care is increasing rapidly, and federal projections indicate that U.S. annual health spending will add up to nearly $6 trillion by 2027. In 2018, nearly 18% of the country’s gross domestic product was devoted to health spending. Every group and institution from private medical practice to complex hospital mergers are affected by health laws that grow more complicated and far-reaching.
The Coronavirus Pandemic
Rapid growth within the health care industry translates to a high level of demand for attorneys. Suits, countersuits, and legal challenges are bound to arise in response to the coronavirus pandemic crisis. The recently passed Coronavirus Aid, Relief, and Economic Security Act, an intricate piece of federal legislation commonly known as the CARES Act, demands the need for expertise in health law, including knowledge government mandates to the ever-growing concern over hospital billing. The role of the health law attorney will be crucial in these areas for medical professionals, organizations, and consumers.
Attention clients in Fort Lauderdale, Boca Raton, Weston, Miami, West Palm Beach, and the other surrounding Florida communities—if you are a health professional or organization involved in litigation, or if you need legal assistance in doing battle with health law, don’t wait.
Call or email Hunker Appeals now to set up a consultation.
Hunker Appeals, 110 Southeast 6th Street, Suite 2330, Fort Lauderdale, FL 33301 877-906-5656.
Email: [email protected]