Health Care

Regulatory Compliance

Health care is one of, it not the most, regulated industries in America. We help our clients stay in compliance with the ever changing and ever increasing maze of regulations that affect their business. Not only do we address their problems as they arise, but we routinely advise clients of new or changing laws and regulations so they can make necessary adjustments to their policies and procedures before the changes take effect.

Lashly & Baer regularly advises all types of providers on Medicare and Medicaid conditions of participation and billing regulations, the Stark Law and its exceptions, Anti-Kickback and its safe harbors, EMTALA, HIPAA, HITECH, state licensing laws and regulations for hospitals, nursing homes, imaging centers and other health care facilities as well as health care professionals, including physicians, chiropractors, dentists, pharmacists, nurses and physician assistants.

We represent our clients before many administrative agencies, including CMS, Office of Inspector General, MO HealthNet, Certificate of Need, Bureau of Health Facility Licensure, Board of Healing Arts, Nursing Board, Pharmacy Board, BNDD and DEA.

Lashly & Baer routinely handles appeals of Medicare and Medicaid reimbursement denials and recoupments, Medicaid rate determinations, notices of deficiencies for hospitals and nursing homes and disciplinary actions by licensing and regulatory boards.

In addition to addressing health care regulatory matters for our health care clients, we also handle the many non-health care regulations they are subject to, including equal employment laws and regulations, wage and hour issues, FMLA, ERISA, land use regulations and similar laws and regulations. For our tax-exempt clients, we advise on state and federal tax law and regulations, including real estate tax exemption, excess benefit transactions and IRS 990 returns.

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