Health Care Providers are increasingly the subjects of federal and state surveys, surveillance and utilization control programs. Accordingly, health administrators and staff must establish and maintain programs to search for abuse and neglect issues, and implement policies and procedures to identify and prevent deficiencies. Similarly, when faced with audits and surveys concerning the medical necessity, quality and timeliness of their services, health care providers must also determine the most appropriate procedural method in which to avail themselves and contest regulatory citations that could have significant effects in the future.
Burnham Brown attorneys have counseled health care providers in their efforts to increase and maintain the quality of their medical services. Our attorneys have also assisted clients with the mechanics of audits and surveys, informal dispute resolution process and remedial and enforcement proceedings. Some of the matters handled by our health care regulatory practice have included:
- Provided advice and counsel concerning the revision of Long Term Care facilities and clinical laboratories policies and procedures to ensure compliance with Medicare, Medicaid, Medi-Cal and State regulations
- Provided advice and counsel concerning the scope of in-process surveys and audits
- Provided advice and counsel concerning clients response to surveys, complaints, audits and medical board investigations
- Represented health care providers in regulatory enforcement proceedings