Plunkett Cooney’s Healthcare Industry Group was formed to meet the unique needs of clients in the increasingly complex business of healthcare. Using a multi-specialty approach, our attorneys solve and prevent problems for all types of healthcare providers, payors, and health-related businesses. 

Our satisfied clients include physicians and physician networks, single- and multi-specialty professional practices, physician assistants, nurse practitioners and other mid-level providers, physician-hospital organizations, integrated delivery networks, pharmacies, tertiary care facilities, community hospitals, ambulatory surgery centers, long-term care facilities, imaging centers, behavioral health facilities and providers, rural health clinics, laboratories, home health agencies, independent diagnostic testing facilities, DME suppliers, rehabilitation agencies, three-share programs, insurance companies, HMOs and managed care plans.

Our experienced attorneys provide a broad range of preventive and curative services in the areas of:

• Business Transactions
      -  Management Services Arrangements and Contracts
      -  Mergers and Acquisitions
      -  Joint Ventures
      -  Sales
• Managed Care Contracting and Disputes
      -  Negotiation
      -  Drafting and Review
      -  Risk-Sharing and Pay-For-Performance Arrangements
      -  Termination and Post-Termination Issues
• Medicare and Medicaid
      -  Reimbursement
      -  Participation
• Compliance
      -  Fraud and Abuse
      -  Self-referral (Stark)
      -  HIPAA
      -  Antitrust
      -  Payor Requirements
• Investigations and Enforcement Actions
      -  Criminal Defense (State and Federal)
      -  Civil Suits (including False Claims and Qui Tam)
      -  Administrative Sanctions and Civil Money Penalties
      -  Payor Audits
      -  Regulatory Agencies and Administrative Proceedings
• Alternative Dispute Resolution (Mediation and Arbitration)
      -  As Resolvers
      -  As Advocates
• Provider Contracts and Recruitment
• Corporate
      -  Entity Formation and Counseling
      -  Shareholder and Member Actions
• Licensure, Accreditation, Participation and Exclusion
• Health Information Technology (including EHR/EMR, Licensing)
• Commercial Litigation (Plaintiff and Defendant)
• Credentialing, Peer Review and Medical Staff
      -  Policies and Bylaws
      -  Disciplinary Proceedings
      -  Data Bank
• Labor and Employment
      -  Collective Bargaining
      -  Dispute Resolution
      -  Litigation
      -  Policy Development
      -  Noncompetition
      -  Wage & Hour
      -  ERISA
• Real Estate
      -  Sales
      -  Acquisitions
      -  Financing
      -  Leasing
      -  Construction
      -  Joint Ventures
• Professional Liability
• Estate Planning
• Tax

Publications

• Legal Landmines in Pain Management
• Medical Tourism: Implications for Providers and Plans
• Three Steps to Immediately Reduce Healthcare Compliance Exposure
• Never Say Never
• Federal stimulus law beefs up HIPAA penalties, extends compliance requirements to ‘business associates’
• Federal Appellate Court Applies Stark and Anti-Kickback Laws to Anesthesiologists’ Exclusive Contract and Pain Management Arrangements