healthcare facility legal representation

Home/Tag: healthcare facility legal representation

Florida Pediatric Associates Files Suit For Alleged Non-Compliant EHR Program

George Indest HeadshotBy George F. Indest III, J.D., M.P.A., LL.M., Board Certified by The Florida Bar in Health Law
On March 16, 2020, a pediatrics group in Altamonte Springs, Florida, filed a proposed class-action lawsuit against a health care technology company called Greenway Health LLC (Greenway). Altamonte Pediatric Associates PA (Altamonte Pediatrics) says Greenway sold it an electronic health records (EHR) program that did not comply with federal standards and cost them a bundle in federal incentive payments.

The suit was filed in the U.S. District Court for the Middle District of Florida.

EHR Compliance.

According to the complaint, Greenway’s Intergy electronic health records software failed to comply with the federal government’s Meaningful Use program that sets nationwide standards for EHR. The errors allegedly cost the pediatrics group at least $68,000 in missed incentive payments from the U.S. Department of Health and Human Services.

Altamonte Pediatrics says that in the contract Greenway guaranteed that any systems would “remain compliant with federal regulations,” according to the complaint. Additionally, it claims that Greenway waited more than four months to respond to their communications about the $68,000 in lost incentive payments. When Altamonte Pediatrics they finally did get a response, Greenway allegedly only offered to pay less than half that amount.

Additional Troubles for Greenway.

The lawsuit with Altamonte Pediatrics is not the first time that Greenway has faced legal troubles for its EHR program. In 2019, it paid $57.25 million to resolve a False Claims Act suit alleging that they caused users to submit false claims to the government by misrepresenting the capabilities of its EHR product “Prime Suite.” The government also alleged that Greenway violated the Anti-Kickback Statute by paying money and incentives to its client providers to recommend Prime Suite to prospective new customers. You can read the United States Department of Justice’s press release on this case here for more information.

The DOJ said Greenway got a bogus certification by concealing aspects of its program that were not compliant and set it up so its clients could provide inaccurate data.

The Altamonte Pediatrics group claims the same thing happened to it after Medicaid denied $68,000 in incentive payments for eight of its doctors and nurses due to Intergy’s errors. After it’s FCA settlement in 2019, Greenway assured Altamonte Pediatrics and other customers that it would fix flaws in its EHR programs, according to the suit.

The pediatrics group is asking for actual damages, punitive damages, restitution, and attorney fees and expenses. Click here to read the class action complaint filed by Altamonte Pediatrics.

Contact Experienced Health Law Attorneys.

The Health Law Firm routinely represents physicians and medical groups on EHR issues. It also represents pharmacists, pharmacies, physicians, nurses and other health providers in investigations, regulatory matters, licensing issues, litigation, inspections, and audits involving the DEA, Department of Health (DOH) and other law enforcement agencies. Its attorneys include those who are board-certified by The Florida Bar in Health Law as well as licensed health professionals who are also attorneys.

To contact The Health Law Firm, please call (407) 331-6620 or (850) 439-1001 and visit our website at www.TheHealthLawFirm.com.

Sources:

Bolado, Carolina. “Doctors Say Greenway E-Records Software Not Up To Snuff.” Law360. (March 16, 2020). Web.

Simpson, Dave. “Health Records Co. To Pay $57.2M Over FCA Allegations.” Law360. (February 6, 2019). Web.

About the Author: George F. Indest III, J.D., M.P.A., LL.M., Board Certified by The Florida Bar in Health Law is an attorney with The Health Law Firm, which has a national practice. Its main office is in Orlando, Florida, area. www.TheHealthLawFirm.com The Health Law Firm, 1101 Douglas Avenue, Suite 1000, Altamonte Springs, Florida 32714, Phone: (407) 331-6620.

KeyWords: Electronic Health Records (EHRs) litigation, legal representation for EHR matters, EHR legal representation, electronic medical records litigation, legal representation for EMRs, EHR defense litigation lawyer, representation for complex healthcare litigation, legal representation in complex medical litigation, healthcare facility legal representation, legal representation for healthcare investigations, DOJ defense lawyer, representation for DOJ investigations, healthcare fraud defense lawyer, representation for health care fraud, reviews of The Health Law Firm, The Health Law Firm attorney reviews, Anti-Kickback Statute defense attorney, AKS lawyer, representation for AKS matters, AKS defense attorney, False Claims Act defense lawyer, FCA representation, representation for FCA investigations, FCA attorney, DOH defense lawyer, representation for DOH investigations, representation for DOH matters, DOH investigation defense attorney, representation for health care professionals, health law defense attorney

“The Health Law Firm” is a registered fictitious business name of and a registered service mark of The Health Law Firm, P.A., a Florida professional service corporation, since 1999.
Copyright © 2020 The Health Law Firm. All rights reserved.

Pediatric Group in Florida Claims EHR Program Not Compliant in Suit

George Indest HeadshotBy George F. Indest III, J.D., M.P.A., LL.M., Board Certified by The Florida Bar in Health Law
On March 16, 2020, a pediatrics group in Altamonte Springs, Florida, filed a proposed class-action lawsuit against a health care technology company called Greenway Health LLC (Greenway). Altamonte Pediatric Associates PA (Altamonte Pediatrics) says Greenway sold it an electronic health records (EHR) program that did not comply with federal standards and cost them a bundle in federal incentive payments.

The suit was filed in the U.S. District Court for the Middle District of Florida.

EHR Compliance.

According to the complaint, Greenway’s Intergy electronic health records software failed to comply with the federal government’s Meaningful Use program that sets nationwide standards for EHR. The errors allegedly cost the pediatrics group at least $68,000 in missed incentive payments from the U.S. Department of Health and Human Services.

Altamonte Pediatrics says that in the contract Greenway guaranteed that any systems would “remain compliant with federal regulations,” according to the complaint. Additionally, it claims that Greenway waited more than four months to respond to their communications about the $68,000 in lost incentive payments. When Altamonte Pediatrics they finally did get a response, Greenway allegedly only offered to pay less than half that amount.

Additional Troubles for Greenway.

The lawsuit with Altamonte Pediatrics is not the first time that Greenway has faced legal troubles for its EHR program. In 2019, it paid $57.25 million to resolve a False Claims Act suit alleging that they caused users to submit false claims to the government by misrepresenting the capabilities of its EHR product “Prime Suite.” The government also alleged that Greenway violated the Anti-Kickback Statute by paying money and incentives to its client providers to recommend Prime Suite to prospective new customers. You can read the United States Department of Justice’s press release on this case here for more information.

The DOJ said Greenway got a bogus certification by concealing aspects of its program that were not compliant and set it up so its clients could provide inaccurate data.

The Altamonte Pediatrics group claims the same thing happened to it after Medicaid denied $68,000 in incentive payments for eight of its doctors and nurses due to Intergy’s errors. After it’s FCA settlement in 2019, Greenway assured Altamonte Pediatrics and other customers that it would fix flaws in its EHR programs, according to the suit.

The pediatrics group is asking for actual damages, punitive damages, restitution, and attorney fees and expenses. Click here to read the class action complaint filed by Altamonte Pediatrics.

Contact Experienced Health Law Attorneys.

The Health Law Firm routinely represents physicians and medical groups on EHR issues. It also represents pharmacists, pharmacies, physicians, nurses and other health providers in investigations, regulatory matters, licensing issues, litigation, inspections, and audits involving the DEA, Department of Health (DOH) and other law enforcement agencies. Its attorneys include those who are board-certified by The Florida Bar in Health Law as well as licensed health professionals who are also attorneys.

To contact The Health Law Firm, please call (407) 331-6620 or (850) 439-1001 and visit our website at www.TheHealthLawFirm.com.

Sources:

Bolado, Carolina. “Doctors Say Greenway E-Records Software Not Up To Snuff.” Law360. (March 16, 2020). Web.

Simpson, Dave. “Health Records Co. To Pay $57.2M Over FCA Allegations.” Law360. (February 6, 2019). Web.

About the Author: George F. Indest III, J.D., M.P.A., LL.M., Board Certified by The Florida Bar in Health Law is an attorney with The Health Law Firm, which has a national practice. Its main office is in Orlando, Florida, area. www.TheHealthLawFirm.com The Health Law Firm, 1101 Douglas Avenue, Suite 1000, Altamonte Springs, Florida 32714, Phone: (407) 331-6620.

KeyWords: Electronic Health Records (EHRs) litigation, legal representation for EHR matters, EHR legal representation, electronic medical records litigation, legal representation for EMRs, EHR defense litigation lawyer, representation for complex healthcare litigation, legal representation in complex medical litigation, healthcare facility legal representation, legal representation for healthcare investigations, DOJ defense lawyer, representation for DOJ investigations, healthcare fraud defense lawyer, representation for health care fraud, reviews of The Health Law Firm, The Health Law Firm attorney reviews, Anti-Kickback Statute defense attorney, AKS lawyer, representation for AKS matters, AKS defense attorney, False Claims Act defense lawyer, FCA representation, representation for FCA investigations, FCA attorney, DOH defense lawyer, representation for DOH investigations, representation for DOH matters, DOH investigation defense attorney, representation for health care professionals, health law defense attorney

“The Health Law Firm” is a registered fictitious business name of and a registered service mark of The Health Law Firm, P.A., a Florida professional service corporation, since 1999.
Copyright © 2020 The Health Law Firm. All rights reserved.

Are You A Doctor Facing Divorce? Cover Your Assets Now!

Attorney George F. IndestBy George F. Indest III, J.D., M.P.A., LL.M., Board Certified by The Florida Bar in Health Law
If you are a doctor in Florida who is thinking about a divorce, has filed for a divorce, or has had a divorce thrust upon you by a spouse, there are several important issues to consider which are related to the medical profession. However, many of these same issues that I address in this article will also apply to the circumstances surrounding facing a large court judgment over the limits of your insurance policy or if you have no applicable insurance coverage. One of the first issues to consider is the valuation of your professional practice. There are also several other issues you must consider that are associated with being a high net worth individual.

You may be a physician who is the owner or part-owner of a thriving medical practice or you may be the spouse of one. Either way, there are likely going to be questions regarding whether or not the spouse who is not a doctor may be entitled to a portion of the practice as part of the divorce.

Part of the Medical Practice May Be Considered to Be Marital Assets.

In Florida, a medical license or other professional license is not considered marital property. It cannot be divided or taken by the other spouse during the divorce. However, the medical practice itself, or a business entity, is a different matter.

One determining factor in whether a spouse is entitled a part of the medical practice is whether the value of the practice significantly increased during the marriage. Another factor is whether the other spouse contributed to getting the practice up and running (efforts or income).

Any increase would, under Florida divorce laws, be considered a marital asset. If the physician spouse added the other spouse’s name to the practice, or if marital funds are commingled with the assets of the medical practice, it could be considered marital property, therefore subject to division.

However, few judges would divide a medical practice between spouses, thereby effectively removing the livelihood of the physician-spouse. It is much more likely a Florida judge—in the event, the two spouses were unable to come to a mutual agreement—would allow the physician to keep his or her medical practice, offsetting the value of the business by awarding assets of approximately the same value to the non-physician spouse. The physician spouse might also be required to “buy out” the other spouse’s interests in the medical practice with cash. In such situations, the medical practice will likely be valuated, using income tax returns, financial statements, profit and loss reports, balance sheets, and accounts payable and receivable reports.

Goodwill and the Tangible Assets of a Practice.

The valuation may include what is known as “goodwill,” along with tangible assets. Goodwill is considered an intangible asset. It includes a consideration of the expectation of continued patronage by clients or patients and whether the physician will continue to maintain and increase the number of patients. Goodwill does not necessarily exist in every business. Determining a physician’s goodwill should also take into account the physician’s age, health, skills, knowledge, reputation and earning power. During a valuation of a medical practice, the length of time the practice has been open, the location of the practice, the reputation of the practice among patients and referring doctors and the number of existing patients who will return in the future will all be taken into consideration. There are many other factors which also come into play which space does not permit me to discuss.

Unfortunately, the valuation of a medical practice—or any business, for that matter—can often boil down to a battle of high-priced experts. It could be that you will end up weighing the cost of extended litigation against the division of the medical practice, determining if the fight is worth the end. Because physicians typically make a significant yearly income, when a doctor divorces, that divorce may be considered a high net worth divorce, which comes with its own set of complications.

Other Factors in High Net Worth Divorces.

In a high net worth divorce in Florida, the spouses may share bank accounts, multiple high-worth properties, boats, airplanes, artwork, multiple expensive vehicles, investments, and business assets. These assets must all be carefully separated after it is determined which of the assets are marital assets and which are non-marital assets.

Some of the more common issues associated with a high net worth divorce include the following:

1. The future earning capacity of both spouses, taking a medical degree, medical license and medical practice into account. Florida is one of the states which will almost always award some type of spousal support, and the physician’s future earning capacity may dictate spousal support to the non-physician spouse.

2. Physicians are more likely than the average blue-collar working person to have corporate benefits such as stock options, deferred compensations, retirement funds, 401(k) accounts, IRA’s and good pensions. All these must be assessed, then fairly divided.

3. The valuation of the medical practice will come into play in a high net worth Florida divorce. If it is determined that the practice will continue to grow and thrive, the non-physician spouse may be awarded a portion of that expected growth.

4. There may be extremely complex tax issues associated with a high net worth divorce, as well as one where a medical practice is involved. These tax issues must be addressed before the completion of the divorce.

5. Any asset held in trust for either spouse will be valued and divided, as will all real estate, stocks, and bonds.

6. Art collections, country club or other club memberships, timeshares, vacation properties, expensive jewelry and furnishing and any other type of high net worth collections must be valuated and fairly divided during the Florida divorce.

7. If there were postnuptial or prenuptial agreements, these agreements will be evaluated, and legally adhered to, unless there is a significant legal reason for not doing so.

8. Identifying and retaining the services of a good valuations expert with court experience and experience in conducting valuations of medical practices is a must.

These are just a few of the issues with which you must be concerned if a divorce is in your future and you are a physician. Estate planning and asset protection should be started early by every physician. Every physician should consult with and know a good asset protection attorney who can advise them early in their career. At the first sign of a potential marital separation or divorce, start consulting with divorce lawyers. It is better to be too early than too late in this regard. It’s like planning for death or war: “Plan for the worst and hope for the best!”

Contact Health Law Attorneys Experienced in Representing Health Care Professionals and Providers.

At the Health Law Firm, we provide legal services for all health care providers and professionals. This includes physicians, nurses, dentists, psychologists, psychiatrists, mental health counselors, Durable Medical Equipment suppliers, medical students and interns, hospitals, ambulatory surgical centers, pain management clinics, nursing homes, and any other healthcare provider. It also includes medical students, resident physicians, and fellows, as well as medical student professors and clinical staff. We represent facilities, individuals, groups and institutions in contracts, sales, mergers, and acquisitions. The lawyers of The Health Law Firm are experienced in complex litigation and both formal and informal administrative hearings. We also represent physicians accused of wrongdoing, in patient complaints and in Department of Health investigations.

To contact The Health Law Firm, please call (407) 331-6620 and visit our website at www.ThehealthLawFirm.com.

About the Author: George F. Indest III, J.D., M.P.A., LL.M., is Board Certified by The Florida Bar in Health Law. He is the President and Managing Partner of The Health Law Firm, which has a national practice. Its main office is in Orlando, Florida, area. www.TheHealthLawFirm.com The Health Law Firm, 1101 Douglas Ave., Suite 1000, Altamonte Springs, FL 32714, Phone: (407) 331-6620.

KeyWords: legal representation for physicians and medical groups, doctor defense legal representation, legal representation for healthcare professionals, complex health care litigation attorney, complex civil litigation attorney, complex healthcare litigation lawyer, complex medical litigation lawyer, expert witness for medical practice dissolution, expert witness on medical corporation shareholder dispute, healthcare employment law representation, physician employment law representation, health care corporate law attorney, medical corporation lawyer, medical practice legal representation, medical practice break-up attorney, expert witness on attorneys fees, medical practice dissolution legal counsel, medical practice shareholder dispute lawyer, healthcare facility legal representation, expert witness on medical shareholder agreements, legal representation for medical business assets, medical license defense lawyer, representation for complex medical litigation, representation for healthcare business litigation matters, The Health Law Firm, reviews of The Health Law Firm Attorneys, The Health Law Firm attorney reviews, legal representation for physicians and health care professionals, expert witness on medical corporation matters, expert witness on medical contracts

The Health Law Firm” is a registered fictitious business name of and a registered service mark of The Health Law Firm, P.A., a Florida professional service corporation, since 1999.
Copyright © 2020 The Health Law

Go to Top