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Regulatory Compliance

In our regulatory practice, we guide clients through complex regulatory frameworks and help them comply with the ever-changing landscape of healthcare and insurance regulations. Our regulatory practice focuses on:

  • Hospital and Physician Relationships and Reimbursement
  • Accountable Care Organizations (ACOs) structure and payments
  • Billing and Coding Compliance
  • Outsourcing
  • Prescription Drug Products and Sales/Marketing Activities

We offer regulatory compliance services to diverse client groups from small businesses to large international corporations across different industries, including not-for-profits.  Our counsel includes providing legal guidance on the Stark Law, HIPAA, Anti-kickback statute, Tax, State Licensing Requirements and Marketing Disclosure Requirements, Food and Drug Law, PhRMA Code, CLIA, Foreign Corruption Practice Act (FCPA) compliance measures, Human Subject Research Protection and Subject Recruitment Incentives, Medical Billing and Coding compliance, Quality Measures and Reimbursement Principles. Conduct compliance risk assessments and prepare guidance documents and compliance reports.

Compliance Work and Investigations:

  • False Claims/Qui Tam
  • Billing/Coding Irregularities
  • Routine/Focused Audits
  • Pharmaceutical Sales/Marketing Practices
  • Data/Privacy Breaches
  • Employer Compliance Mandate

 



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634 Eagle Rock Avenue, P.O. Box 6139, West Orange, NJ 07052
| Phone: 973.464.2206

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