Regulatory & Compliance

Handling All Your Compliance Needs

Carmody advises on the full scope of compliance and regulatory matters involving licensure, billing and collections, fraud and abuse, and HIPAA privacy requirements, to name a few. Healthcare clients benefit from the combined perspective and experience of our corporate attorneys and litigators. With this approach, we help you develop compliance strategies, while providing skilled and effective defense if and when an administrative, civil, or criminal investigation begins.

  • Compliance Programs. We provide sound, experienced and practical advice to help you develop a comprehensive compliance program.
  • Federal and State Government Investigations. We assist clients through the entire investigation process, including representation before state professional licensing bodies, Medicare / Medicaid, the United States Office of Civil Rights (HIPAA), the Office of Inspector General (Fraud and Abuse), fiscal intermediaries, the Department of Justice and other government agencies.
  • HIPAA. We handle all aspects of HIPAA compliance including Electronic Health Record (EHR) and Electronic Medical Record (EMR) compliance. We also provide representation against HIPAA-related charges or allegations.

Keeping the Hospital-Physician Relationship Strong

As the healthcare industry continues to evolve, so does the hospital-physician relationship. We handle the complicated issues surrounding hospital-physician relationships, including credentialing policies and procedures, staff privileges disputes, exclusive service agreements, peer review matters and issues involving competition among providers. We regularly advise clients regarding analysis of and revisions to their bylaws, rules/regulations and other governance documents and procedures.