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Healthcare Compliance & Operations


Hospitals, surgery centers, imaging centers, skilled nursing facilities, behavioral care providers, senior living facilities, hospices and home health agencies, renal care providers, urgent care centers, healthcare suppliers and many others in the healthcare industry turn to Waller every day for assistance with navigating the federal and state regulations that impact both their day-to-day operations and their long-term objectives. Our goal is to provide peace of mind as we guide them through a virtual regulatory minefield. Their confidence is based on our 40+ years of experience with healthcare regulatory law and the fact that many of the solutions to complex problems we have developed are now models used throughout the healthcare industry.

Whether it's day-to-day operational issues or long-term strategic matters, our healthcare attorneys work closely with our clients to understand their objectives and then develop creative approaches to achieve those goals. The depth and breadth of our regulatory experience is central to our mission. Healthcare clients rely on Waller’s compliance and operations team for assistance with:

  • Medicare enrollment and reimbursement,  Stark, state and federal anti-kickback compliance, along with the Emergency Medical Treatment and Active Labor Act, Joint Commission standards and myriad other regulations
  • Structuring mergers, acquisitions and joint ventures to ensure compliance with federal and state regulations
  • Innovative models for hospitals and physicians to work together, e.g., through clinical co-management agreements and foundation models, within Physician-Hospital Organizations and Accountable Care Organizations, and through joint venture arrangements
  • State survey and certification issues, including Certificate of Need applications
  • HIPAA patient privacy/security regulations, the electronic storage and transfer of medical records and electronic payment systems, security programs under the HITECH Act and security breaches
  • Regulatory investigations, audits and appeals involving Medicare reimbursement, including Zone Program Integrity Contracts (ZPIC), Recovery Audit Contractors (RACs) and Medicare Administrative Contractors (MACs)
  • Department of Justice, HHS-OIG and Medicaid Fraud Control Unit investigations and enforcement actions
  • Allegations of violations of the False Claims Act (FCA), Anti-Kickback Statute (AKS) and Stark law
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