Physician and Physician Group Representation

Physicians and physician groups face a multitude of business and regulatory issues because of the intense regulatory requirements that exist in the health care industry.  Health Care Attorney John Fisher has a long history of representing physicians and physician groups.  The increasingly complex regulatory environment has led the John’s law firm to assemble a team of attorneys to focus on legal matters that are faced by physicians and physician groups.

Our skilled health law and business transactions attorneys understand health care and can guide our clients through a myriad of complex legal issues.  Our physician practice health care attorneys have assisted providers from various parts of the country since the early 1990s on issues related to provide integration and positioning their practices in the face of health care reform proposals.  Provider organizations has again emerged with the passage of health care reform legislation and the creation of Accountable Care Organizations.

Health Care Attorney John Fisher has been representing physicians since the 1990s.  John’s physician practice is broad ranging, but he is one of the few physician attorneys who has a long background in issues relating to provider integration.  John formed some of the first integrated physician networks as far back as 1993 and has continued his work in clinical integration through the present time.  In 1995, the Tampa Bay Business Journal referred to John as one of the most knowledgeable attorneys in the area of provider integration.  John has maintained his active practice in that area and has followed the changes that have come through health care reform, Accountable Care Organization requirements, and other legal areas impacting integrated provider networks.

Additionally, John has a long history of representing provider groups in connection with negotiation of managed care contacts including a variety of payment methodologies.  John gained experience negotiating some of the early capitated contracts between health plans and integrated provider organizations.  John has also set up a variety of different provider incentive programs, withhold distribution models, bundled payment systems, and other provider reimbursement mechanisms.

John also brings a compliance component to his practice.  He is one of the few physician attorneys who is certified in health care compliance.  This background provides substantial benefit to John’s physician clients.  He knows when a compliance issue exists and what to do about it.  He also knows when false compliance issues are being put forth to gain negotiating advantage.  John has experience that permits him to understand the nuances of the various laws that provide the regulatory framework in the healthcare industry.  This knowledge often proves to be a significant benefit to John’s clients.

We are equipped to advise physicians and physician groups on the various laws that are applicable to the creation of practice associations and group practices and the requirements to become qualified as Accountable Care Organizations.  We have also assisted physicians and physician groups in negotiating relationships with other providers such as hospitals, health systems, and ancillary providers.

Some of the areas where John can assist physicians and physician groups include:

Physician Integration

  • Group Practice Mergers
  • Clinical Integration
  • Divisional Mergers
  • Accountable Care Organizations
  • Independent Provider Associations
  • Group Practices Without Walls
  • Physician/Hospital Organizations
  • Provider Network Formation

Physician Practice Issues

  • General Corporate Issues
  • Ancillary Service Ventures
  • Ambulatory Surgery Centers
  • Internal Compensation Plans
  • Physician Contracting
  • Physician Recruitment
  • Non-Compete Analysis and Litigation
  • Billing and Collection
  • Practice Admissions and Departures
  • Practice Management Issues

Relationships With Other Providers

  • Physician/Hospital Contracts
  • Medical Director Agreements
  • Call Coverage Agreements
  • Physician Compensation Issues
  • Joint Ventures
  • Service Line Management
  • Antitrust Issues
  • Medical Staff and Credentialing Issues

Regulatory Compliance

  • Compliance Plan Creation and Operation
  • Stark Law and Anti-Kickback Statute
  • Anti-kickback and Safe Harbor Regulations
  • Physician Supervision Requirements
  • Medicare Billing Requirements
  • Licensing Requirements
  • Government Audits and Self Disclosures
  • Labor and Employment Issues
  • Medical Record Issues
  • Fraud and Abuse Avoidance

Reimbursement Issues

  • Medicare and Medicaid Reimbursement
  • Compliance Issues
  • Managed Care Contracting
  • Recovery Audit Contractors
  • Reimbursement Disputes

Business Transactions

  • Practice Sale and Acquisition
  • Major Medical Equipment Acquisitions
  • Corporate Transactions and Structuring
  • Practice Mergers
  • Real Estate Transactions
  • Practice Reorganizations
  • Practice Valuation Issues

Estates, Asset Protection and Tax Planning

  • Succession Planning
  • Fiduciary Services
  • Asset Protection
  • Retirement Plans and ERISA

We have represented large and small groups in the following specialty areas:

  • Multispecialty Groups
  • Primary Care Clinics
  • Internal Medicine Groups
  • Hospital-Based Physicians
  • Cardiology Groups
  • Radiology Groups
  • Anesthesia Groups
  • Gastroenterology Groups
  • Surgery Groups
  • Nephrology Groups
  • Neurology Groups
  • Behavioral Health Groups
  • Ophthalmology Groups
  • Otolaryngology Groups
  • Urology Groups
  • Pediatric Groups
  • OB/GYN Groups
  • Pulmonary Groups
  • Emergency Medicine Groups
  • Hospitalists
  • Dental Groups
  • Chiropractic Centers
  • Alternative Clinics and Providers

Leave a Reply