We represent diverse client interests providing legal counsel in health care law, insurance regulation, personal injury, business management, litigation, and professional training.

Healthcare Law

Regulatory compliance, fraud & abuse defense, HIPAA, credentialing, professional discipline defense, healthcare business consulting, practice sales and acquisitions with focus on individual providers and small clinics.

Civil fraud & abuse claims, and audits
Government agencies and health plans are becoming more aggressive in their audit and prosecutorial efforts to root out healthcare insurance fraud. Unfortunately, even the best and most ethical health care practitioner can run afoul of complex rules. Regulatory compliance issues, improper documentation or billing errors can lead to audits, sanctions or even civil refund claims or criminal prosecution. Contact us if you have been targeted for audit.

Water Fall Health Care Practitioner Services

Training and assistance with third party payor standards, HIPAA, state privacy, medical records, network audits and contracts, and business compliance. Contact our Firm for our new practice audit designed to identify and resolve problems before they become expensive.

Privacy & regulatory compliance
Privacy laws are nothing new, and exist on many levels for different businesses and professions. However, the Washington Uniform Healthcare Information Act , Insurance Commissioner insurance regulations implementing the federal financial and healthcare information mandates, and the privacy regulations under the Healthcare Insurance Portability & Accountability Act (HIPAA) together impose substantial burdens on healthcare professionals in their daily clinical practice. We can help you comply, train your employees and assist you with forms and record management advice.

Disciplinary and licensing defense
As patient rights are expanded or clarified in legislation, and as patient awareness and sophistication grows, the potential for being exposed to a professional licensing complaint grows. Disgruntled patients, ex-employees and insurance adjusters are the most common sources of complaints for providers. The tightening grip of managed care entities, the proliferation of regulations, and the economics of the practice can combine to trap even the unwary or unintentional violator in the maw of disciplinary proceedings. Many E&O carriers offer regulatory compliance coverage, and you should check to see if you have coverage.

Insurance Regulation

Focused on insurance company and health plan regulatory compliance including market conduct examinations, rate and form review, provider contract and marketing compliance.

Business/Professional Practice Consulting

Entity formation, enterprise legal issues, contract and lease review and preparation, sales and acquisitions, and related commercial litigation.

Personal Injury and Wrongful Death Claims

We represent and advise victims of motor vehicle, aviation, maritime and other accidents.