National Healthcare Law
Administrative Service Companies
- Utilization Review Organizations
- Third Party Administrators
- Healthcare Staffing Organizations
- Medical Billing Companies
- Employee Assistance Program Providers
Critical to the delivery of healthcare services, administrative service companies are growing throughout the industry. While these companies provide a wide variety of services, they are all sensitive to the rapidly changing environment of healthcare regulation, managed care practices, and other industry trends. Whether engaged in a dispute or looking to expand services or reduce liability exposure, Nelson Mullins serves administrative service companies' full array of legal needs. Nelson Mullins' attorneys bring years of experience in the managed care and health insurance industry, including unsurpassed understanding of reimbursement and risk management issues, to critical issues such as:
- Coverage and actuarial review issues under state and federal regulations such as ERISA and Medicare/Medicaid rules;
- Payment arrangements compliant with corporate practice of medicine doctrine and other employment restrictions;
- Billing arrangements compliant with Medicare/Medicaid and contracts with MCO's and providers; and
- Staffing considerations such as negotiation of employment contracts, avoiding liability through employee screening, resolution of litigation involving employee conduct, and immigration issues.