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Licensure and Certification

Licensure and Certification


Overview

Our team is committed to assisting our clients with the day-to-day decisions and tasks necessary to keep their businesses running.  A key example of this commitment is our deep bench of attorneys who help our clients with all types of licensure and certification issues, both for individual providers and for provider organizations.  Whether you are looking to become a Medicare or Medicaid certified provider, dispute or appeal a denial of certification or license, or are facing possible termination, our attorneys have the experience to assist you.

If you are facing a licensure or certification issue, or would like more information about the services our team provides in this area, please contact one of our team members for more information.

Experience

We have provided the following types of licensure and certification services to our clients:
 

  • Prepared policies and procedures and providing guidance regarding routine exclusion checks for Board members, employees and contractors
  • Completed initial and updated CMS 855 forms on behalf of various providers
  • Advocated on behalf of providers in communications with the NC Medicaid agency (DMA) about problems with and updates to provider information for the NCTracks payment system
  • Prepared plans of correction and exhibits on behalf of clients who were cited with survey deficiencies
  • Prepared court filings to seek injunctive relief to prevent termination of providers' Medicare provider agreements
  • Counseled providers on requirements and limitations of state facility licensure laws and impact on proposed capital and strategic projects
  • Represented Medicaid behavioral health provider in appeal of decision by local management entity/managed care organization (LME/MCO) to terminate provider's contract to provide services in catchment area
  • Assisted national post-acute care company in state Medicaid enrollments and appeals of denials based upon vague language in portion of enrollment application addressing prior sanctions
  • Represented outpatient opioid treatment clinics in discussions with State Opioid Treatment Authority about improving documentation of alleged deficiencies noted during site visits based upon existing legal and regulatory requirements for clinics and clarifying process for resolution of citations
  • Addressed enrollment of new lines of business or new locations and meeting applicable state and federal requirements to obtain licensure and certification
  • Advised providers concerning changes of ownership or officers and questions raised by the Medicare Administrative Contractor
  • Represented CNA in appeal over disciplinary action arising out of complaint made by demented nursing home resident


* Past success does not indicate the likelihood of success in any future legal representation.

DISCLAIMER

Each of our lawyer's e-mail address is provided with his or her biography. If you are not a current client of our firm, you should not e-mail our lawyers with any confidential information or any information about a specific legal matter, given that our firm may presently represent persons or companies who have interests that are adverse to you. If you are not a current client and you e-mail any lawyer in our firm, you do so without any expectation of confidentiality. We will not establish a professional relationship with you via e-mail. Instead, you should contact our firm by telephone so that we can determine whether we are in a position to consult with you about any legal matters before you share any confidential or sensitive information with us.