Is your client...
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Does it have a compliance plan?
Does it do self-audits?
Any investigations?
Do they provide HIPAA privacy and security training to people with access to protected information?
Are they asking questions about risk management?
Is it being audited by Medicare or Medicaid?
Any investigations?
What is the audit status?
Which government agency is making the inquiry?
Which government agency is in charge of the policy/regulation?
Do you want to establish a PAC?
How can fast-paced legislative and regulatory changes be monitored and timely reported?
How can the program be changed through the legislative or administrative process to benefit your client?
How does the process work and who can be a guide through it?
How can existing laws or new proposals be leveraged to achieve the maximum economic development benefit?
Who has the ability to smooth the tensions and re-establish good relationships?
HLP-At-a-Glance
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20 Attorneys
Representative Clients
AHF Management Corp.
Alliant Management Systems
American Chemistry Council
America’s Health Insurance Plans
American Water Works Association
Baptist Health System
Beacon Orthopedics & Sports Medicine
Blanchard Valley Health System
Cardiovascular & Thoracic Surgeons
CarePoint Partners, LLC
Catholic Health Initiatives
Columbus Aesthetics & Plastic Surgery
Elmcroft Senior Living
Golden Living
Kindred Healthcare
Kentucky Association of Manufacturers
Kentucky Chemical Industry Council
Kentucky League of Cities
Lexmark International, Inc.
MD2U
Norton Healthcare, Inc.
OrthoNeuro
Premier Health Care Services Remedi Senior Care
Property Casualty Insurers Association of America
The Christ Hospital
University of Cincinnati Health
West Virginia University Hospitals
What We Do
Admission Agreements
Administrative / Regulatory / Compliance
Antitrust / Financing / M&A / Real Estate / Taxation
Certificate of Need
Civil Monetary Penalties
False Claims Act
Health Care Fraud Investigations / Litigation
HIPAA
Licensure Investigations / Hearings
Medicare-Medicaid Audit Appeals and Defense / Certification / Reimbursement
Medical Staff Privileges
Physician Compensation
Coalitions / Grassroots Campaigns
Government Relations
Government Investigations
Lobbying / Advocacy
Political Law
Creating Value
Health Care Industry Focus
Ambulance/Ambulette Companies
Ambulatory Surgery Centers
Durable Medical Equipment Companies
HMOs
Home Health Agencies
Hospices
Hospitals
Long Term Care Facilities
Nurses
Pharmacist/Pharmacies
Physician Joint Ventures
Physicians
Urgent Care Centers
Experience Highlights
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We represented an Ohio hospital that disclosed information about improper financial relationships with referring physicians in response to claims of violating the False Claims Act, the Anti-Kickback Statute and the Stark Statute. We negotiated a settlement with the Department of Justice, the Office of the Inspector General and the Ohio Attorney General (collectively “Government”). During the negotiations, our client disclosed that some of their arrangements with physicians violated the federal Anti-Kickback Statute because they did not meet the requirements of the relevant safe harbors. Criminal charges against our client were declined, and we worked to address the civil and administrative issues to provide a global resolution. After further negotiations with the Government, the matter was settled for an amount that was agreeable to our client.
We counseled a client who received complaints regarding a physician. The hospital was required to proceed according to its Medical Staff Bylaws, including holding a hearing before a peer review hearing committee. We counseled the hospital throughout the process, ensuring compliance with the Health Care Quality Improvement Act, state licensure and reporting regulations, and the Medical Staff Bylaws. Any violations during the peer review process could have resulted in the hospital and participating reviewing physicians losing civil immunities and facing potential liability. The hospital completed the hearing and peer review process with no compliance difficulties.
We represented a client seeking a Certificate of Need to place 150 mental health beds, with a total capital expenditure exceeding $40 million, in a vacant facility formerly owned by United Hospital Center. The Certificate was granted, but then appealed by a competitor, who raised issues of financial feasibility, necessity of the project and compliance with the state health plan. The competitor alleged that it was denied due process. The matter was appealed to the Office of Judges, an administrative appeal body, and our client’s Certificate was upheld.
We worked to secure a sponsor for the bill, presented research and testimony on behalf of the Coalition, and negotiated policy within the legislation. The legislation was passed, providing a victory for our client in their efforts to protect consumers and their products.
With our assistance, multiple bills have passed that expedite the foreclosure process and provide more authority for cities to address or maintain properties that have gone into foreclosure. We coordinate the efforts and missions of the client — as well as promote bill passage through testifying at committee hearings, lobbying legislators and providing research and analysis regarding the impact of the bills.
We advised the committee on a variety of issues, including forming a Super PAC, as well as compliance with laws relating to fundraising, expenditures and advertising. We registered the client with the Federal Election commission, managed their campaign-finance disclosure reports and handled media contacts.
Attorney Roster
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Leadership / Contact
Tom Hess
Partner • (614) 227-4260 • thomas.hess@dinsmore.com
Nursing homes, healthcare fraud investigations, audits, Certificate of Need
Cincinnati
Matthew Arend
Partner • (513) 977-8388 • matthew.arend@dinsmore.com
HIPAA Privacy and Security, Medicare/Medicaid appeals and reimbursement, certificates of need, health care fraud issues, Medicare/Medicaid exclusion actions
Jennifer Mitchell
Partner • (513) 977-8364 • jennifer.mitchell@dinsmore.com
HIPAA Privacy and Security, joint ventures, compliance programs, HIPAA regulations, and Stark law and Anti-Kickback statutes
William Freedman
Of Counsel• (513) 977-8232 • bill.freedman@dinsmore.com
Employee benefits, tax and estate planning and health care
Jenna Moran
Associate • (513) 977-8269 • jenna.moran@dinsmore.com
Health care compliance regulatory, transactional, and complex litigation matters
Columbus
Donald Antrim
Partner • (614) 227-4292 • donald.antrim@dinsmore.com
Corporate formation and M&A
Stacey Borowicz
Partner • (614) 227-4212 • stacey.borowicz@dinsmore.com
Medicare/Medicaid audit and overpayment appeals, voluntary disclosures, HIPAA, and joint ventures
Eric Plinke
Partner (614) 227-4213 • eric.plinke@dinsmore.com
Joint ventures, M&A, corporate and practice formation, ambulatory surgery centers, hospitals, licensure matters
Daniel Zinsmaster
Of Counsel • (614) 233-5388 • daniel.zinsmaster@dinsmore.com
Administrative and disciplinary proceedings, as well as regulatory investigations and compliance
Brendan O'Reilly
Associate • (614) 628-6957 • brendan.oreilly@dinsmore.com
Regulatory compliance (Stark, Anti-Kickback, HIPAA), administrative hearings and appeals (i.e. licensure issues), Medicare/Medicaid audits, employment agreements (initiation, negotiation, termination)
Sarah Persinger, PharmD, RPh
Associate • (614) 628-6979 • sarah.persinger@dinsmore.com
PharmD, RPh, health system pharmacy compliance, specialty pharmacy, managed care and pharmacy benefits management, 340B, pharmacy board, retail pharmacy, compounding, controlled substances
Courtney White
Associate • (614) 628-6952 • courtney.white@dinsmore.com
Health care law
Frankfort
Carl Breeding
Partner • (502) 352-4611 • carl.breeding@dinsmore.com
Environmental and government relations law, natural resources and insurance issues, government relations
Rusty Cress
Partner • (502) 352-4612 • rusty.cress@dinsmore.com
Environmental permitting and compliance with environmental and natural resource laws and regulations, government relations
Lexington
Eric Lycan
Partner • (859) 425-1047 • eric.lycan@dinsmore.com
Government relations, public policy, campaign finance and election laws
Louisville
Thomas Hoy
Partner • (502) 581-8016 • tom.hoy@dinsmore.com
Corporate formation and M&A, joint ventures, physician practices and licensure
Michael Merrick
Partner • (502) 540-2321 • michael.merrick@dinsmore.com
Health care law, business and fiduciary litigation
Morgantown
Jill Rice
Partner • (304) 225-1430 • jill.rice@dinsmore.com
Government relations, insurance, civil and administrative litigation, certificate of need, health care, managed care
Washington, D.C.
Andrew Kirkner
Associate • (202) 372-9135 • andrew.kirkner@dinsmore.com
Government relations and civil and administrative litigation