Health Care

Compliance, Investigations & Regulatory Risk

Health Care Reform

We provide advice and counsel to clients as they navigate and respond to the dynamic health care regulatory environment and evolving reimbursement models. Specifically, we assist clients participating in the New York delivery system reform incentive payment program (“DSRIP”), Accountable Care Organizations (“ACO”), shared savings agreements and other alternative payment models designed to drive improved quality, reduced costs, increased access and patient satisfaction.

Corporate Governance

We assist clients and their respective governing bodies to understand and discharge their fiduciary duties and regulatory oversight obligations. We often provide education and guidance relating to matters of strategic planning, corporate integrity, operational transparency, conflicts of interest and corporate compliance.

Regulatory Compliance, Investigations, Audit and Response to Government Agencies

The Attorneys at Whiteman Osterman & Hanna have years of experience investigating and evaluating alleged misconduct including, but not limited to, fraud, abuse and waste. We represent clients in Medicare, Medicaid investigations and proceedings before the New York State Department of Health, Office of the Attorney General, Office of Medicaid Inspector General, Office of Inspector General, Centers for Medicare and Medicaid Services and Department of Justice. Further, we have unique in-house experience necessary to help clients develop, implement and evaluate the effectiveness of their compliance programs, lead internal investigations/audits to proactively identify opportunities for improvement to avoid government scrutiny or in response to government agencies to prevent recurrence. We regularly advise clients on matters implicating federal and state Stark and Anti-kickback issues.

HIPAA Privacy and Security

Our attorneys have training, education and experience, including CIPP/US certification meeting ANSI/ISO standards, demonstrating proficiency in HIPAA privacy and security, data protection and information management principles. We assist clients with policy development, gap analysis, education and auditing, third party vendor management, data breach identification mitigation and response, international data transfer laws and regulations and Red Flag Rules, among other matters.