We have the answers.
You are building or growing your health care business. You have (or should have) a lot of questions. We know questions. Because we have seen the questions. And we have the answers.
Do you need a Delaware C-Corp.? A California Professional Corporation? How about a Florida Limited Liability Company with an “S-election?”
Should you take on risk? What’s a fair capitation payment? What’s a reasonable MLR? Do you really need to provide a letter of credit or is that negotiable?
How do you sell your digital health business and product into multiple states? What’s a “Friendly P.C.?” Do you need one? Can you profit from the provision of medical services? How about from the sale of drugs? What if you are a “cash-only” business? Can your providers issue prescriptions without a video conference? Without speaking with the patient by phone? Without a photograph? What does “asynchronous” communication mean? What is an internet questionnaire?
Mergers & Acquisitions
Thinking of selling your health care business? Should it be a stock sale or an asset sale? What questions will a buyer have? What documents and information will a buyer want to see? What professionals should you add to your transaction team?
Want to pay a commission for generating health care business? A productivity bonus? Should you hire an employee or independent contractor?
Are there physician investors? Are they referrers? Are designated health services involved? Do you need to worry about the Stark law? Will you meet an Anti-Kickback safe harbor?
Can you pay providers based on their internal referrals? What are they referring? Are they personally performed services or directly supervised? What other questions should we be asking?
Fraud and Abuse
Do you need to worry about the Federal Anti-kickback Statute? How about the Stark Law? State anti-kickback and self-referral laws? Does it matter who the payor is? What if you are not accepting Medicare or Tricare? What if you only accept commercial insurance? What about cash?
What does Florida’s Agency for Health Care Administration (AHCA) do? What is an AHCA license? How do I do a Change of Ownership (CHOW) with AHCA?