Paul's healthcare practice encompasses a wide range of legal services that are provided in a rapidly changing and highly regulated industry. These include:
- Transaction compliance and counseling of fraud and abuse laws in mergers and acquisitions by hospitals and healthcare companies; designing and negotiating physician-hospital alignment arrangements; joint venture arrangements among healthcare providers; and buy-out agreements.
- Defended and managed numerous audits and investigations of potential overpayments under the False Claims Act, Anti-Kickback Statute, EKRA, Sunshine Act, Stark Law and other fraud and abuse violations for laboratories, hospitals, and physician practices.
- Advising on and making self-disclosures and negotiation of settlements and corporate integrity agreements with government agencies, such as Arizona’s AHCCCS OIG, DOJ, and the HHS OIG.
- Medicare and Medicaid reimbursement counseling.
- Advising and providing representation on medical staff matters for hospitals, healthcare plans, and physicians, including peer review, quality assurance, bylaws review, and fair hearings.
- Privacy and security compliance, including counseling clients on HIPAA and HITECH; internal compliance audits; responding to numerous OCR investigations; and managing and reporting data breaches.
- Regulatory and strategic counseling related to proposed business models.
- Counseling senior living and post-acute care facilities, including skilled nursing facilities, assisted living facilities, home care and hospice.
- Serving as outside counsel for multi and single specialty physician groups, management companies, ambulatory surgery centers and ancillary service providers.
- Represented hundreds of physicians in all aspects of medical board licensing investigations.
- Conducted hundreds of mediations and a dozen arbitrations.
- Drafted healthcare legislation impacting tort reform, surprise medical bills, hospital satellite locations and remote pharmacies.