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Health Law

Today's health care environment is increasingly complex, with providers facing numerous challenges as a result of governmental scrutiny and competition from other providers. Add to this mix the multitude of regulatory and compliance challenges and the potential for costly investigations, and litigation becomes a serious concern.

The Health Law Practice Group maintains an exclusive focus on a wide variety of health law issues facing our clients. The attorneys in this practice group understand that counseling and negotiation are critical skill sets, and are also willing and able to take a matter to court when negotiation fails, and the best defense becomes an assertive offense.
 
Health Information Privacy and Security

  • Develop and revise HIPAA/HITECH-compliant policies, procedures and business associate agreements
  • Counsel providers regarding interpretation of federal and state privacy and security laws and regulations
  • Assist covered entities and business associates in responding to security breaches and when applicable, providing notice to patients
  • Assist providers in investigations by governmental agencies regarding privacy/security breaches

 
Antitrust and Competition Issues

  • Assist hospitals and physicians in the development of accountable care organizations and integrated networks (financial and clinical)
  • Develop and defend credentialing policies including economic credentialing policies
  • Assist in the development of exclusive contracts to assure a smooth transition for both the health system and physician group
  • Develop joint venture arrangements with other providers to avoid costly allegations of price fixing and market allocation
  • Counsel providers regarding mergers and affiliations
  • Assist providers in development of clinical guidelines and other patient safety policies
  • Litigate antitrust claims before courts and federal enforcement agencies

 
Credentialing and Hospital-Physician Relations

  • Assist and counsel providers regarding corrective action process
  • Draft medical staff bylaws, fair hearing plans and related documents
  • Serve as fair hearing officer and counsel to medical staff regarding corrective action process
  • Advise health care providers regarding compliance with Health Care Quality Improvement Act
  • Defend providers in litigation claims involving denials, termination and revocation of medical staff privileges and/or clinical privileges
  • Advise hospitals on risk management techniques to facilitate ability to monitor and assess quality of care
  • Counsel hospital peer review committees regarding confidentiality under state peer review laws

 
Licensure and Accreditation

  • Represent providers in licensure matters before state agencies
  • Assist providers in response to Joint Commission inquiries and complaints
  • Counsel providers regarding compliance with Joint Commission and other applicable standards
  • Review bylaws for compliance with Joint Commission standards

 
Health Care Transactions

  • Draft and negotiate a wide variety of contracts between and among providers
  • Counsel hospitals regarding exclusive contract process and draft/negotiate exclusive agreements
  • Draft vendor agreements between providers and outside vendors
  • Advise providers regarding contracts with payers
  • Counsel clients regarding development of patient safety organizations
  • Litigate claims regarding provider contracts in state and federal courts 
Case Study September 20, 2012

Pages

Mar 1, 2012
We successfully argued a case of first-impression before the Pennsylvania Superior Court on the issue of whether the MCARE Act requires defendants to pay a proportionate share of attorneys fees in addition to paying a jury's award for future...
Mar 21, 2011
Attorney obtained a defense award in an arbitration matter in which a medical provider sought payment for services allegedly rendered to an insured in connection with injuries sustained in a motor vehicle accident. Following an extensive deposition...
Mar 21, 2011
Attorney was successful in obtaining a defense award in an arbitration matter in which the medical necessity and causality of treatment was disputed.  The treatment at issue included discogram procedures of the spine at levels L3-4, L4-5 and L5-S1...
Oct 18, 2010
Attorney obtained a defense verdict in an Arbitration Hearing heard before the National Arbitration Forum in a matter involving a medical provider seeking payment of significant medical expenses. The insured claimed that she was injured in a motor...
Aug 23, 2010
Attorney successfully negotiated a settlement in a case involving a suspect medical provider that was fraudulently billing for services not rendered. As part of the settlement, the medical provider agreed to a payback package. Moreover, the...
Jun 1, 2010
Attorney was successful in a NAF matter where claimant was seeking income continuation benefits from an insurance comapny. Clamant has a unique policy that permits her to obtain disability benefits for life as long as she remains disabled. The...
Jun 1, 2010
Attorney obtained a defense verdict in a matter filed with National Arbitration Forum (NAF). Claimant was seeking reimbursement for six different medical providers relating to treatment received following a motor vehicle accident. The primary...
May 17, 2010
Attorney successfully defended an Arbitration matter against our insured before the National Arbitration Forum in which a medical provider sought medical expense benefits for services provided to an alleged insured, as well as an undetermined...
Apr 12, 2010
Attorney obtained a Defense Verdict in an Arbitration Hearing before the National Arbitration Forum in a matter involving an insured seeking payment of significant medical expenses. The insured claimed she was injured in a motor vehicle accident...
Mar 29, 2010
Attorney obtained a favorable defense verdict at an Arbitration Hearing before the National Arbitration Forum in connection with a claim by a medical provider seeking payment of medical expense benefits for treatments rendered to an insured. The...

Pages

Law Alerts May 7, 2013
Evaluation and management (E/M) services are visits to patients by physicians and non-physician practitioners to assess and manage a patient's health.[i] E/M services are grouped into visit types, including office visits (new patient and...
Law Alerts April 24, 2013
The United States Attorney's Office for the Northern District of Illinois announced that it has arrested the senior executive of Sacred Heart Hospital in Chicago and four physicians for alleged violations of the Antikickback Act. In addition,...
Articles March 19, 2013
The Legal Intelligencer, March 19, 2013
Articles March 19, 2013
The Legal Intelligencer, March 19, 2013
Case Study September 20, 2012
Law Alerts April 1, 2012
The Mcare Fund denied Dr. Wolfson excess coverage because it alleged that he received notice of a claim prior to the Mcare Fund's receipt of his assessment payment for that calendar year. The pivotal issue was what constituted notice of a claim..., Case Law Alert - 2nd Qtr 2012
Articles September 28, 2011
Mondaq: Litigation, Mediation & Arbitration. September 28, 2011
Defense Digest Article June 2, 2011
Pennsylvania - Health Law , KEY POINTS: Methadone does not cause impairment of an individual's cognitive function. Pennsylvania law established that physicians may not be held liable for injuries suffered by third persons..., Defense Digest, Vol. 17, No. 2, June 2011
Defense Digest Article June 1, 2010
Marshall, Dennehey, Warner, Coleman & Goggin has been providing defense representation in the area of healthcare liability for over 40 years. Presently, the members of our Healthcare Liability Department are handling over 2,000 medical..., Defense Digest, Vol. 16, No. 2, June 2010
January 9, 2013
Philadelphia, PA  – January 9, 2013 – Marshall Dennehey Warner Coleman & Goggin is pleased to announce that Stephanie M. Barr, Esq., has joined the firm as an associate in its Philadelphia office. Barr is a member of the Health Care Department, where she concentrates her practice on health law...
January 2, 2013
Philadelphia, PA – January 2, 2013 – Richard R. Wier, Jr., former Delaware Attorney General, has joined the law firm of Marshall Dennehey Warner Coleman & Goggin and will serve as Senior Counsel in their Wilmington, DE office.  For the past twenty years, Dick Wier has headed his own firm in...
Conference Mar 12, 2013
The 19th Annual Health Law Institute provides updates and insight into recent changes in health care law and policy. The two-day conference offers more than 55 sessions led by knowledgable, experienced practitioners. "Fraud and...
Seminar May 23, 2013
Mark Mattioli is the featured speaker for this educational program hosted by PASHRM. Visit www.pashrm.net for more information.

Chair

Mark L. Mattioli
Chair, Health Law Practice Group
(215) 575-2833
mlmattioli@mdwcg.com

Co-Chair

Kate S. McGrath
Co-Chair, Health Law Practice Group
(610) 354-8255
ksmcgrath@mdwcg.com

Additional Contacts

Richard R. Wier, Jr.
Senior Counsel
(302) 552-4350
RRWier@mdwcg.com

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