Contract Review

My legal experience extends to a range of transactional processes that healthcare providers often face throughout their careers. These are examples of my  areas of focus; if you need legal assistance with another type of contract or transaction, reach out via my contact form to learn whether I can assist you. 

Billing Agreements

Drafting accurate, comprehensive billing agreements is critical to your practice’s revenue management and provider reimbursement. I have extensive experience creating and reviewing these types of agreements for healthcare providers: 

• Billing Company/Revenue Cycle Management Agreements: Many medical providers outsource certain tasks like medical coding, eligibility verification, and patient collections to third-party organizations. A well-drafted billing company or RCM agreement clearly addresses key points like scope of services, service level agreements, pricing and fees, the responsibilities of each party, and the return of data upon termination. 

• Insurance Payor Contracts: These agreements between healthcare providers and insurance companies outline the terms for reimbursement, covered services, and administrative processes. I help providers understand the often complex terms in their insurance payor contracts and protect their practices’ interests.  

• Vendor Service Agreements: These contracts outline the relationship between a healthcare organization and a third-party vendor, covering details such as the scope of services, pricing and payment structure, liability of each party, and expected performance standards.  

Affiliation/Referral Agreements

Affiliation and referral agreements outline the cooperative relationships between different healthcare providers, such as physician practices and hospitals. Well-drafted agreements are essential to ensure that referrals are based on patient needs and not financial incentives, complying with federal and state Stark Laws and Anti-Kickback Statutes. I provide in-depth contract review for affiliation and referral agreements to clarify complex legal terms and ensure compliance under relevant legal statutes. Whether you are forming a new cooperative relationship and need to draft an agreement or are looking to ensure the compliance of existing agreements, seek legal counsel from me before finalizing the arrangement. 

General Contract Review 

I provide knowledgeable contract review across a wide range of legal agreements to ensure that they are clear, fair, and legally sound. I have extensive experience with many types of business contracts within the healthcare sector, such as:

• Employment and independent contractor agreements
• Vendor and service agreements
• Third-party biller agreements
• Affiliation and joint venture agreements
• Asset purchase agreements 

My 30+ years of legal industry experience, including substantive healthcare litigation experience and service as in-house counsel for medical practices, have given me the skills to review contracts with eagle-eye precision, helping medical providers like you avoid costly errors and oversights.

Having an experienced legal professional review your business transactions and agreements should be standard practice as a diligent healthcare provider. But not every individual physician and small practice owner has the resources to afford the  legal fees typically charged by larger healthcare law firms. 

At Empower Healthcare & Legal Solutions, I make legal guidance accessible for small practices and solo practitioners with limited budgets. Clients trust me with their business transactions for several reasons. 

• Boutique-level legal services: I provide personal, tailored guidance for each client after taking the time to understand their unique circumstances. When you hire Empower Healthcare & Legal Solutions, you gain a direct line of access to me when you have questions or need counsel. 

• Cost-effective fee structure: My fees are much lower than you will find at the average healthcare law firm. I intentionally make my prices affordable so as to be accessible for smaller practices and solo providers. 

• Specific healthcare legal experience: Unlike typical business attorneys, I have vast experience providing legal counsel for the healthcare industry. I have practiced at larger firms,I served as in-house counsel for a hospital system and a multi-state medical practice, and my experience extends to healthcare litigation. I serve clients through the lens of avoiding the pitfalls and litigation concerns unique to the medical industry. 

Whether you are starting a new medical practice or want to ensure compliance with existing or upcoming contractual agreements, I have the experience and legal skills to assist you.