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Healthcare regulatory compliance laws are incredibly complex, but they are essential for the safety and legality of your healthcare business or practice. Failing to comply could not only cause harm to employees and patients in some cases, but it can also threaten your business and professional standing. Noncompliance can even lead to criminal charges. A Long Island healthcare regulatory compliance lawyer can create a plan for regulatory compliance.
Navigating complex healthcare regulatory compliance cases is much easier with legal representation, and you need the right legal team that can provide you with experienced, dedicated, and comprehensive legal care. At Weiss Zarett Brofman Sonnenklar & Levy, P.C., we have decades of combined experience and possess thorough knowledge of healthcare regulatory law. We remain up to date on current changes so we can know how they may affect your business and practice.
Our firm prides itself on exceptional legal representation, and we do not pass cases off to less-experienced employees. Our seasoned attorneys can handle your case with diligence and care. We can create a comprehensive regulatory compliance plan, thereby mitigating the risks of noncompliance. We have experience with the 10th Judicial District throughout Long Island.
Our firm cares about our clients, and it is our goal to create an effective plan that addresses all important aspects of compliance, from licensing to fraud laws. We can prevent problems and address any that arise.
Regulatory compliance is the process of reviewing the state and federal laws that apply to your healthcare business and meeting those requirements. It also includes having a plan to continue to meet the regulations and ensure compliance at each level of your business. By creating this plan preemptively, you can avoid or limit more serious and complex issues, like complaints, investigations, problems during audits, disputes, or litigation.
There are several federal laws to be considered in regulatory compliance, including:
Addressing these and other laws is essential for maintaining compliance. Healthcare companies are uniquely required to meet regulations for business, employment, healthcare, and controlled substances. These regulations also change, which can both create difficulties and allow new opportunities for your business.
It isn’t easy to navigate these requirements and be aware of these opportunities while also maintaining a successful practice or other healthcare business. When you hire a healthcare regulatory compliance lawyer, they can manage these numerous regulatory expectations. They also understand the options when regulation changes.
There are many areas of regulatory compliance, and each must be considered and addressed. Missing any of them can create a bigger issue in the future. Lack of knowledge about regulatory requirements will not prevent the consequences of noncompliance. At Weiss Zarett Brofman Sonnenklar & Levy, P.C., we can handle all aspects of regulation compliance, which includes areas like:
In New York, there were 674 adverse actions related to a practitioner’s licensure or certification in 2024. Healthcare businesses must be up to date on proper licensure and certification, both for the business or practice itself and the individual practitioners who work at the business.
When there are issues with licensure or certifications, it can cause serious problems for your practice. It’s important to have a plan to:
Healthcare businesses must ensure data security to protect patient privacy and adhere to HIPAA laws. Regulations address:
The HITECH Act also addresses security issues and how healthcare businesses must enact high-security programs.
Medicaid and Medicare Reimbursement and the False Claims Act
The False Claims Act prohibits billing Medicaid or Medicare for false or fraudulent claims. Violating this law can lead to severe financial penalties, which do not require the intent to defraud. There are also criminal charges for these offenses. It is essential that healthcare companies understand the regulations for making claims to Medicaid or Medicare. Your attorney can create a plan to reduce the company’s risk of False Claims Act violations.
The Stark Law exists to prohibit medical providers from referring their patients to services from which the medical provider receives a financial benefit, especially when that service is paid for by the patient’s Medicaid or Medicare. Financial benefits also include investments.
Healthcare companies have to be aware of the Stark Law and other anti-abuse laws. They must also conduct internal actions to make sure medical providers are not engaging in this type of fraud and abuse. Other anti-fraud laws, like the Anti-Kickback Statute, also prevent fraud through benefits paid to providers for referrals.
There are many regulations regarding controlled substances. These were put in place by the FDA, Environmental Protection Agency (EPA), and Drug Enforcement Administration (DEA). These agencies investigate and enforce laws on how controlled substances are stored, transported, and disposed of, among other concerns.
Failing to meet these requirements can have serious consequences, including criminal charges. When your healthcare business deals with controlled substance regulation, you need a knowledgeable attorney to mitigate risk.
Many other regulations apply to most healthcare companies, and certain regulations are only established for specific types of healthcare companies. If you are a healthcare provider or facility, following these regulations is essential to the continued future of your business, practice, and financial well-being. The assistance of a healthcare regulatory compliance attorney is paramount.
An attorney can represent you if you are facing an audit, investigation, or litigation for an issue. However, with a regulatory compliance plan, you could avoid these issues altogether, saving you time, stress, and money.
When you select an attorney, it is essential to find a team that has an in-depth understanding of business law, healthcare law, and the complex overlap of regulations for healthcare companies. The attorneys at Weiss Zarett Brofman Sonnenklar & Levy, P.C., have the experience you need to properly address compliance matters. Reach out to our firm today.
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