Health care providers, insurers and their executives and professional associations face special challenges in a legal world of constantly changing government regulations and laws in the health care industry. Spotts Fain provides comprehensive legal advice to health care entities and groups, with a focus on regulatory issues and legal matters affecting continuing care retirement communities, assisted living facilities, nursing homes, pharmacists and medical practices.  

We provide a full range of services for health care providers and practitioners:

  • Medicaid and Medicare provider appeals and provider enrollment
  • Stark and anti-kickback analysis
  • Physician contracts
  • Certificates of Public Need (COPN)
  • Fair housing discrimination
  • Quality assessment and performance
  • Americans with Disabilities Act (ADA)  
  • Medical Quality Assurance Policies and Review Panels - National Committee for Quality Assurance (NCQA)
  • HIPAA regulations and administration
  • COBRA issues
  • Department of Medical Assistance Services payment disputes
  • Department of Social Services regulations
  • Department of Health Professions
  • Virginia Department of Professional and Occupational Regulation
  • Government relations - cabinet level negotiations
  • Provider Facilities Acquisitions
  • State Corporation Commission Bureau of Insurance and Licensure
  • Va. real property charitable tax exemption

Additionally, we place special emphasis on the general business matters that face Health Care entities, such as employment matters, ADA regulations, contracts and corporate organizational and general business issues.  We represent a number of large non-profit providers.

We review legal developments in the industry so that you can focus on providing quality care to residents and patients.

We also have significant experience in assisting with the development of health care facilities, particularly the construction and establishment of retirement communities:

  • Initial purchase of property
  • Zoning and local government issues
  • Certificates of Public Need
  • Construction law and implementation
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