At Cooper & Riesterer, we represent providers, facilities, and other allied health professionals in the many intricate areas of business, compliance, and litigation in the healthcare industry.
Healthcare Business Transactions
We assist healthcare and related businesses with all aspects of business establishment and management, including business planning and structuring, purchase agreements, due diligence, and advising clients concerning contracts specific to healthcare providers, including employment contracts, management services contracts, business associate agreements, and vendor service contracts, as well as real estate purchase and lease agreements specifically tailored to healthcare providers.
At Cooper & Riesterer, we combine our extensive franchising and healthcare business experience to provide comprehensive representation to established healthcare franchisors, as well as those new to the healthcare franchise industry. We also represent franchisees considering investment in or already operating an existing healthcare franchise.
HIPAA Privacy and Security Matters
In the electronic health records era, providers face constant and ever-changing compliance issues in operations and transactions every day. At Cooper & Riesterer, we provide solutions to the regulatory challenges faced by healthcare providers and business associates of covered entities by developing compliance policies and procedures, contracts, and work force training programs.
Third-Party Payor Audits
We have significant experience defending Medicare, Medicaid, and other third party payor audits on behalf of healthcare entities, providers, and suppliers nationwide. We also provide consulting services on the audit process to providers who wish to handle third party payor audit appeals in-house, to improve efficiency and effectiveness, as well as lower the costs of defending routine audits. More…
Compliance Programs and Compliance Audits
Federal and state regulations affect nearly every aspect of healthcare business. At Cooper & Riesterer, we assist health care providers in developing effective compliance programs involving practical policies and procedures and continuing education so providers can meet the requirements of the numerous regulations that impact the healthcare industry. Our firm offers compliance audits to help providers self-identify and correct deficiencies before an outside auditor can do so.
Stark, Anti-Kickback, and Fraud and Abuse
At Cooper & Riesterer, we help providers navigate through the myriad of federal and state regulations affecting entrepreneurial and established healthcare businesses, including the federal physician self-referral prohibition (commonly known as the Stark law), federal Anti-Kickback statute, and state fraud and abuse statutes, as well as other related issues, such as corporate practice of medicine prohibitions and Medicare conditions of participation and billing rules.
Professional Licensing and Staff Privilege Matters
We represent physicians, allied health professionals, and other healthcare providers. The effects of medical professional licensure and medical staff privileging and credentialing matters can have far reaching consequences. At Cooper & Riesterer, we have significant experience in these matters and can help you successfully navigate these sensitive and important issues.
Staff training is a cost-effective means of implementing facility- or system-wide compliance with health care regulatory requirements. At Cooper & Riesterer, we offer training to providers, providers’ employees, or, for larger organizations, staff members who will act as employee trainers. We provide training on a wide variety of recurrent issues, including developing a compliance plan, coding and billing, and HIPAA compliance, as well as training programs tailored to specific emerging issues and regulations affecting the healthcare industry.
Contact us today to learn more about how we can help you with your healthcare-related needs.
Contact Cooper & Riesterer today: 810.227.3103
CMS Updates On Hospice Election Form, Revocation, And Designation Of Attending Physician
On April 3, 2015, the Center for Medicare & Medicaid Services ("CMS”) issued Change Request 9114 to Medicare Administrative Contractors ("MACs”) implementing the changes finalized in the FY 2015 hospice rule regarding election, revocation, and designation of an attending physician. These changes are effective May 5, 2015. more
The Centers for Medicare & Medicaid Services ("CMS”) recently announced that the Medicare Inpatient "probe and educate” period will be extended through April 30, 2015. Prior to this announcement, the Probe and Educate period was set to expire on March 31, 2015. more
CMS Issues Stage 3 Meaningful Use Proposed Rule
On March 30, 2015, the Department of Health and Human Services’ Centers for Medicare & Medicaid Services ("CMS”) published a 73-page proposed rule for Stage 3 Meaningful Use (available here), addressing criteria that eligible professionals ("EPs”), eligible hospitals, and critical access hospitals ("CAHs”) must meet in order to receive incentive payments and avoid payment reduction penalties. more
The law firm of Cooper & Riesterer, PLC, provides skilled legal services and experienced counsel to clients in Livingston County and throughout Southeast Michigan. We focus our practice on saving our clients time and money by offering: sound legal advice; proactive counsel to avoid future disputes; and effective, efficient resolutions when disputes do arise.