LEGAL AND REGULATORY COMPLIANCE

Fraud and Abuse, HIPAA and State Privacy Laws, Billing and Coding, Payor Quality and Incentive Programs

Wade, Goldstein advises practitioners, suppliers and manufacturers concerning the myriad of federal and state statutory, regulatory and payor-driven compliance frameworks applicable in the highly regulated healthcare industry.  The Wade, Goldstein attorneys assist clients in evaluating the applicability of such laws, regulations and compliance programs to their present healthcare practices.  They advise clients on billing and reimbursement issues and responding to requests for information and subpoenas from various judicial, governmental and regulatory bodies. They also assist clients in maintaining compliance with payor quality programs such as the Meaningful Use EHR Incentive Program, the Physician Quality Reporting Program, Value-Based Modifiers and the newly developing Merit-based Incentive Payment System.  Finally, the Wade, Goldstein attorneys ensure that clients are aware of and have the tools to comply with the various federal and state health care statutes and regulations applicable to them, such as the Health Insurance Portability and Accountability Act of 1996 (HIPAA), the Controlled Substances Act and the Emergency Medical Treatment and Active Labor Act (EMTALA) and their state counterparts.