ACOs are networks of health care providers that share financial incentives to reduce health care costs for beneficiaries while meeting certain health care standards.
Health care providers can encounter many different arrangements with hospitals, including exclusive service agreements, medical director agreements, agreements for specific services, physician recruitment agreements and lease agreements.
The primary federal laws are the Anti-Kickback Statute and the Stark Law. In addition, many states have additional restrictions on kickbacks, self-referrals, and other financial relationships among health care providers.
Our firm has extensive experience with audits, chart reviews and requests for overpayment. In addition, we research and respond to questions on proper billing and help clients take a proactive approach to payment issues.
Kalogredis, Sansweet, Dearden and Burke, Ltd. (KSDB) handles employment contracts on behalf of both employers and employees.
For health care employers, KSDB provides advice on leave of absence policies, handling employee misconduct, and unemployment compensation claims.
With decades of experience advising physicians and dentists, KSDB attorneys are qualified to testify on matters such as contract interpretation, restrictive covenants, and partnership disputes.
Our firm handles employment contract and tort issues such as: breach of restrictive covenant and non-solicitation provisions; intentional interference with contractual relations; invasion of privacy; and defamation.
HIPAA imposes extensive requirements on health care providers, which include limiting the disclosure of protected health information (PHI), establishing safeguards to protect electronic PHI, and providing notification in the case of a breach. In addition, many states also regulate the confidentiality and retention of medical records.
Sansweet, Dearden and Burke, Ltd. (SDB) represents health care professionals when issues arise with the medical staff of any hospital where the professional has privileges
Sansweet, Dearden and Burke, Ltd. (SDB) advises physicians and dentists on the type of professional entity to establish for their practice. The choices typically include a sole proprietorship, professional corporation (S or C corporation for income tax purposes), limited liability company, or limited liability partnership.
Our firm has extensive experience with sales to hospitals, health care systems, non-profit and for-profit companies, as well as to other health care practitioners. SDB attorneys have represented both the sellers and the purchasers in these transactions.
Sansweet, Dearden and Burke, Ltd. (SDB) has significant experience in all phases of licensure issues that can threaten a professional’s career.
Sansweet, Dearden and Burke, Ltd. (SDB) has significant experience with buy-ins to medical and dental practices. SDB structures and negotiates such transactions on behalf of the practice or “senior doctor,” as well as on behalf of the person who is becoming a new practice owner.