Operations and Compliance

Athene Law sees a broad cross-section of practices in the healthcare provider industry, giving it unique insight on standard practices in the market.  We use this insight to support our clients develop operational best practices.  These day-to-day practices, in turn, help ensure ongoing compliance.

Athene Law provides informed counsel for all aspects of a client’s operations. Our clients include hospitals and medical groups, agencies, hospices, pharmacies, foundations, laboratories, surgery centers, and more. We manage a full array of operational issues that allow practices and professionals to focus on serving patients.

Capabilities

Clients in the healthcare industry, including physicians and groups, facilities, for-profit and non-profit entities, hospitals, and hospital systems need guidance and representation for a variety of needs. 

Athene Law’s diverse experience within the healthcare industry has prepared the team to represent practices and professionals in a highly-regulated environment.

Change of scope audit support and appeals capabilities include:

• Day-to-day operational compliance, policies, and procedures
• Initial licensure and changes
• Provider enrollment to Medicare and Medicaid
• Reporting ownership changes
• Provider-based status
• Medicare and Medi-Cal audits and investigations
• Medicare/Medicaid termination, suspension, and decertification actions
• HIPAA
• EMTALA
• Bioethics, medical records, and confidentiality issues
• Patient transfer and discharge issues
• Patient consent law, including withdrawal of life support
• Adverse event reporting and plans of correction
• Practitioner scope of practice issues
• Compliance plans
• Medical staff bylaws, rules and regulations, and policies
• Response to subpoenas
• Peer review hearings, governing board appeals, and writs
• Late career practitioner policies
• Medical staff and joint investigations
• Whistleblower complaints
• Confidentiality protections, including Evidence Code 1157 and HCQIA
• Midlevel structuring, supervision and billing