In an industry where organizations are held to strict standards, regulations and laws, Lewis Rice’s Health Care Practice Group helps health care payers, providers and professionals navigate a wide array of business and legal issues. As one of the leading law firms in Missouri counseling health care entities, clients turn to our attorneys for support ensuring compliance, achieving operational efficiency, resolving disputes and more.
Our Services
Health Care Counsel
Our attorneys have extensive experience handling virtually every business and legal issue confronting health care entities, including:
- Regulatory compliance and corporate compliance programs
- System and network development
- Hospital and physician alignment structures
- Managed care contracting, administration and insurance of facilities
- Medical staff organization, peer review and disputes
- Medicare and Medicaid reimbursement and other third-party billing and claims management
- Federal claims defense
- Provider licensing and accreditation issues
- HIPAA compliance and patient privacy and confidentiality
- Medical consent, advance directives and other patient care issues
- Fraud prevention
- Form filing and licensure
- Telemedicine and digital health care
Health Care Litigation
Our lawyers regularly prosecute and defend lawsuits on behalf of participants in all sectors of the health care industry. Representations have included:
- Defense of coverage underpayment claims on behalf of insurers and managed care companies
- Defense of provider class actions against managed care companies and insurers
- Representation of both hospitals and physicians in peer review and credentialing disputes
- Representation of health care clients in administrative and judicial disputes with regulatory bodies
- Representing hospitals and doctors under investigation or charged with violations of criminal law
- Representing hospitals, physicians and researchers sued under state or federal civil false claims statutes, including violations of Medicare, Medicaid, and federal research guidelines (National Institutes of Health and National Science Foundation) and regulations
- Defense of claims of professional negligence
- Defense of claims of product liability arising from medical equipment and devices
- Representation in commercial and business disputes
Comprehensive Counsel
As a full-service law firm, Lewis Rice can provide custom, comprehensive counsel beyond common health care issues. These services can include handling traditional corporate, real estate, tax, labor, and litigation matters specific to a client’s needs.
Our Clients
We counsel a diverse mix of for-profit, non-profit and governmental organizations from across the United States that vary in size and structure, including:
- Health insurers
- Integrated health systems and networks
- Hospitals
- Managed care organizations (PPOs and HMOs)
- Academic medical centers
- Long-term care facilities
- Ancillary service and medical equipment providers
- Physicians, physician organizations and other physician initiatives
Our Approach
Staying informed about complex and ever-evolving health care regulations is key to helping our clients achieve business success and compliance. Through strong relationships with regulators and state departments, research, and participation in professional societies, health care symposia and continuing legal education programs, attorneys in Lewis Rice’s Health Care Practice Group remain up to date on industry trends and upcoming developments. This enables us to offer timely and relevant guidance and proactively address challenges.
