Where Medicine Meets Law
Jones & Keller’s attorneys provide a wide array of legal services relating to health care. This complex, rapidly evolving body of law presents challenges to all sectors of businesses, including health care systems, hospitals, long-term care facilities, home health agencies, ambulatory care facilities, physician groups, provider networks (i.e., IPAs, PHOs, etc.), payors (including HMOs, PPOs, and self-funded benefit plans), diagnostic testing facilities, licensed medical providers, insurers, employers and individuals.
Our attorneys provide advice and assistance to clients in the health care field respecting corporate and organizational matters, business planning, sales and mergers of practices, Medicare and Medicaid reimbursement. We assist with regulatory compliance, such as privacy and HIPAA issues, and represent various health care professionals in discipline and licensing matters before their respective professional boards. Our attorneys have extensive experience advising and representing physicians, medical groups and other health care entities regarding the Stark Law antikickback statute and reimbursement implications of existing and proposed arrangements between hospitals and physicians, antitrust, competition, discipline, licensing and privilege matters in internal, state and federal administrative and judicial proceedings. The firm advises clients and handles litigation on issues including medical staff matters, exclusive contracting, joint ventures, mergers, acquisitions, affiliations and managed care contracting.
For private practitioners, we provide advice and consultation regarding formation of professional business organizations, negotiating of leases, purchase and/or merger of practices and the acquisition, development, purchase and sale of real property for medical office use.
We help physicians address internal privilege matters with hospitals, and assist hospital-based physicians in federal and state court litigation when they have been excluded from their practices for economic, rather than quality-of-care reasons. We have represented physician independent practice associations in investigations and litigation by the Federal Trade Commission.
Our attorneys assist insurance companies and HMOs, as well as insurance agencies, with their corporate, regulatory and other compliance needs. We regularly represent employers and individuals who have health care and claims issues or coverage disputes.
We also help associations and employers who have self-funded medical, health and welfare benefit plans under ERISA to negotiate and implement insurer contracts, plan documents, compliance programs and to resolve claims issues.
Our Health Care Expertise
Jones & Keller's specialized attorneys take the utmost care advising and representing physicians, medical groups, hospitals, and other healthcare entities, specializing in:
The business of medicine requires lawyers who are familiar with the industry. Our highly specialized lawyers can assist your practice to navigate the complexities of Healthcare Regulation Compliance, as well as Insurance, and assisting stakeholders with the Sale, Merger or Dissolution of a Medical Practice
Hiring employees creates an entirely different set of issues for doctors, dentists and other practitioners. In a healthcare practice, employee relations must be conducted in compliance with not only general business standards, but healthcare standards and regulations as well. At Jones & Keller, members of our healthcare practice help providers and practices ensure compliance with Employment Policies & Procedures as well as draft Employment Contracts & Non-compete Agreements.
While most health care providers and practice groups would prefer to focus on providing care to patients, one reality is that business disputes often arise. Members of Jones and Keller's healthcare practice have over 100 years of combined Litigation experience and can also provide guidance with Professional Licensing and Discipline as well as the complexities of Credentialing, Privileges and Peer Review.