Cases
Rep Matters: Advise medical practices regarding compliance of proposed
final contracts with various state
federal fraud
abuse statutes.
Arnold advises various medical practices involving issues such as whether a proposed contract would violate the Anti-Kickback statute, Stark law or the False Claims Act. One client had signed, but not implemented, a problematic contract. Arnold provided sufficient support for his opinion that the other side has not sued for breach of contract.
Represent dental
medical practices regarding Department of Social Services' Medicaid audits.
Arnold has represented several dental
medical practices who were audited by the Department of Social Services regarding their Medicaid billing. The audits proposed disallowing hundreds of thous
s of dollars. On behalf of the practices, Arnold presented facts, documentation
legal argument to reduce or, in one instance eliminate entirely, the disallowances.
Represent a medical practice in a matter involving an HHS/OIG subpoena.
Arnold represents a medical practice that has been served with a subpoena by the Office of Inspector General of the United States Department of Health
Human Services.
Represent a former state contractor regarding rights
obligations subsequent to termination of the contract.
Arnold represents a former state contractor regarding a dispute with the former contracting agency regarding the company's rights
obligations subsequent to the termination of the contract. The Office of State Ethics is also involved.
Advise a downstream Medicare Advantage company regarding compliance
training involving Medicare regulations.
Arnold advises a downstream company involved with a Medicare Advantage Plan
a Medicare Part D provider regarding all aspects of compliance
training, including HIPAA, Fraud, Waste
Abuse
Compliance Training. Arnold has reviewed
revised the company's policies
procedures. He has also conducted a training session m
ated by Medicare statutes
regulations for the company's employees on Fraud, Waste
Abuse
Compliance.
Advise medical provider trade associations regarding state
federal laws
regulations.
Arnold advises several medical provider trade associations with respect to a multitude of issues ranging from approaching the Department of Public Health regarding the potential unlicensed practice of medicine, to advising other clients regarding potential changes to state
federal statutes
regulations.
Certificate of Need Obtained for Ambulatory Surgical Center
Halloran & Sage represented a single-specialty physician group with an ambulatory surgical center (ASC) in obtaining the Office of Health Care Access' (OHCA) approval of a certificate of need (CON) determination. The CON application constructed
executed by partners, Brian Enright
Arnold Menchel, was a complex arrangement involving the formation of a multi-specialty practice that included the addition of medical services, transfer of ownership, ASC expansion
equipment acquisition.
Residential Care Home Represented in DPH Investigation Regarding Alleged Mish
ling of Resident Funds
Medications
Halloran & Sage represented a residential care home investigated by the Department of Health involving alleged misappropriation of resident funds
improper h
ling of medication. Investigation involved multiple layers of negotiation with DPH
the Attorney General's Office. The investigation also included assisting the client with augmenting facility policies
procedures
preparing employment agreements of necessary staff. Halloran & Sage, led by health care law partner Arnold Menchel, successfully counseled the residential care home through complex questions regarding the investigation, facility's business affairs
negotiated for reduced penalties, limited financial auditing
extended time in meeting health care department dem
s.
Residential Care Home Represented in DPH Investigation Regarding Alleged Mish
ling of Dietary Restrictions, Recreation
Resident Funds
Halloran & Sage represented a residential care home investigated by the Department of Public Health for alleged mish
ling of resident funds, dietary needs
resident recreation. Investigation involved multiple layers of negotiation with DPH
the Attorney General's office
investigation also included assisting the client with mitigating subsequent resident complaints
preparing the facility for an ownership transfer. Halloran & Sage, led by health care law partner Arnold Menchel, successfully negotiated with DPH for limiting necessity of financial auditing, reducing state intervention,
significantly decreasing civil penalties.
H & S Helps Acute Care Hospital Resolve Patient Care Behavioral Health Matter
Halloran & Sage represented an acute care hospital with resolving patient care behavioral health issues. Halloran & Sage, led by health care law partner Arnold Menchel, advised hospital of state
federal law risks
steps necessary for hospital to manage patient needs.
H & S Helps Acute Care Hospital with Reimbursement Matter Regarding Scheduling of Patients
Halloran & Sage represented an acute care hospital with a reimbursement matter regarding the scheduling of patients. Halloran & Sage, led by health care law partner Arnold Menchel, advising the hospital of state
federal law risks
options available for future strategic development.
