Health Care

Medicare, Medicaid, and Other Reimbursement Issues

Poricanin advises health care providers on Medicare and Medicaid billing and reimbursement issues and assists them in analyzing the reimbursement consequences of alternative business structures.  We work with providers that predominantly rely on public payment sources, such as Medicaid and Medicare, in identifying and complying with all rules and regulations applicable to such providers.  When problems arise, Poricanin represent providers in Medicare and Medicaid audits and appeals.

Audits, Investigations, and Appeals

We represent providers in Medicare and Medicaid audits, investigations, appeals, and enforcement proceedings, and we assist providers in matters before the New York State Department of Health, Office of the Medicaid Inspector General, and Medicaid Fraud Control Unit, the Health and Human Services Office of Inspector General and Centers for Medicare and Medicaid Services, and the U.S. Department of Justice.

Health Care Litigation and Dispute Resolution

At Poricanin, we assist providers in federal and state court litigation, administrative challenges to governmental action (e.g., New York State Department of Health findings, OMIG audits, and in New York Attorney General subpoena investigations), and arbitration proceedings.

Health Care Mergers, Acquisitions, and Joint Ventures

Poricanin assists current and prospective providers in structuring health care mergers, sales/dispositions, acquisitions, reorganizations, and joint ventures. We advise concerning the application of New York’s certificate of need requirements with respect to proposed transactions. We advise clients on structuring issues and assist providers with analyzing and negotiating managed care contracts and forming independent practice associations (IPAs). We counsel clients on issues related to fraud and abuse, including the physician self-referral law (Stark) and the anti-kickback statute.

Physicians, Licensed Professionals, and Group Practice Issues

We negotiate the purchase and sale of physician practices and advise on physician recruitment issues. We advise facility administration, physicians, and other licensed professionals on contract negotiations, third-party payor reimbursement, purchases and sales of assets, and medical staff credentialing and disciplinary issues. We represent physicians and other licensed health care professionals in disciplinary proceedings before their respective licensing boards.

Labor and Employment Matters

Poricanin works with providers concerning the recruitment, retention, and termination of employees, compliance with various labor and employment laws applicable to employees (including wage parity for home health care workers in New York State), negotiating collective bargaining agreements, defending class action wage and hour lawsuits, providing workplace training (e.g., anti-harassment training), representing employers before administrative agencies (e.g., EEOC, NYC Department of Consumer Affairs, Department of Labor) and defending employers in litigation involving allegations of discrimination, harassment, and retaliation.