Health care providers in the US have to work within an increasingly complex regulatory environment. Federal and state regulations have become stricter, as the authorities strive to improve patient care, reduce fraud, and make healthcare providers more accountable. So if you are starting a new healthcare or medical practice, take the time to find out what you should know (read more) about the business and regulatory requirements that your medical entity must satisfy.
Compliance with relevant federal & state regulations
There are a number of regulations that medical practices have to comply with, so it’s important to get assistance from attorneys familiar with the relevant statutes. In particular, there are regulatory issues surrounding the Health Insurance and Portability Act, (HIPAA), as well as the Stark/Anti-Kickback Laws.
Compliance with state and medical reimbursement programs such as Medicare and Medi-Cal (California), should also be considered. In addition, some states like California also have far reaching licensing rules and regulations.
The statutes and laws were also instituted to ensure that medical practices comply with the accountability aspects of health care delivery. They also address matters such as confidentiality of client information, billing, fraud, and security.
Other considerations relating to setting up a new medical practice include:
- Obtaining the relevant start-up financing from public and private resources.
- Applying for business and state licenses.
- Securing adequate malpractice coverage.
- Formulating the ownership structure with due consideration to the state laws governing the types of partnerships allowed for medical practices.
If you need help with starting a new health care or medical practice, don’t hesitate to contact Nelson Hardiman, LLP, Los Angeles, CA. We assist clients in planning and strategizing when establishing a new healthcare venture. Give us a call today at 310-203-2800, or send an email to [email protected].