Behavioral Health Care Law

We prepare and deliver presentations to behavioral health care providers on how parity works and what compliance with the privacy obligations of 42 C.F.R. Part 2 means. Our behavioral health provider clients get paid on claims, stay out of licensing trouble, and buy into effective and affordable compliance programs. Our Behavioral Health practice group is involved with cutting-edge issues of developing an insurable and affordable behavioral health-oriented health information exchange, creating programs that integrate primary medical care with behavioral health, implementing new Centers for Medicare and Medicaid Services (CMS) regulations. We ensure that behavioral health gets a seat at the table of national health care reform.

Intangibles

Our clients have the luxury of choosing from many accomplished law firms that deliver high-quality and cost-effective legal services. What distinguishes our Behavioral Health Care team, however, are intangible factors – factors that benefit our clients. For example, our attorneys enjoy their work. We enjoy the challenge of meeting and exceeding an unbalanced burden of proof in the representation of the behavioral health care clients. In civil litigation, the recognized burden of proof is a “preponderance of the evidence” (more than 50 percent). However, due to negative stigma and hindsight bias to be successful in civil litigation, the burden of proof, in reality, is “clear and convincing.” These challenges, generated through the behavioral health delivery system, create excitement and trigger the talents and creativity of our Behavioral Health practice group.

The ultimate goal of each member of the Behavioral Health practice group is to become more than just an attorney for our clients. Our goal is to become a trusted counselor and advisor for all aspects of our clients’ work.

Hands-On Experience Translates into Expertise

Our Behavioral Health practice group represents behavioral health care providers in numerous states related to procurement, administrative law, contract disputes, licensing, claims disputes, Medicaid reimbursement matters, government regulatory compliance, malpractice defense, CMS sanctions, fraud and abuse, qui tam actions, healthcare financing, creation and operation of managed care organizations, labor and employment law services, corporate compliance program development, education, and maintenance. We are familiar with government-managed care contracts and the issues affecting all providers generated through ongoing governmental regulation.

Our Behavioral Health practice group participates in the policy development groups that focus on creating methodologies to integrate the delivery of medical and behavioral health care. You will find that the behavioral health care attorneys supply value-added services to clients because their experience in the behavioral health care arena has been hands-on.