Judith Jurin Semo Practice Areas

Health care in the United States is highly regulated, with legal rules governing much of medical practice, including:

• Who can practice
• What services they can provide
• In the case of trainees and nonphysicians, the level of oversight/supervision required, if any
• The facilities in which services can be performed
• Relationships with patients
• Relationships with the facilities at which they perform services
• Relationships with colleagues and competitors
• Investments in facilities and health care companies

Health care law is a fast-paced, constantly evolving practice area. New laws are enacted at the federal and state level. Regulations change, with some regulations updated every year. With health care spending accounting for more than 17% of the US GDP, the potential for abuse is ever-present, which leads to ongoing and active enforcement not only by federal and state agencies, but by private whistleblowers, as well.

Add to that mix changing payment models, consolidation in the health care industry in general and in physician practices in particular, the COVID-19 pandemic, and multiple hot-button issues relating to heath care coverage.

Against this backdrop, Ms. Semo’s practice extends to working with physicians to address the many challenges they face in such areas as:

• Contract review and negotiations, including:
  • Professional service agreements with hospitals and ASCs
  • Employment agreements (with private groups and hospitals)
  • Clinically integrated network and ACO participation agreements
  • Contracts with vendors (billing companies, others)

• Regulatory requirements and compliance, including:
  • Fraud and abuse compliance, including Anti-Kickback, Stark, and False Claims Act
  • HIPAA and HITECH compliance
• Medicare Part B billing compliance, with a special emphasis on anesthesia billing compliance
• Business transactions, including:
  • Corporate governance
  • Representing physician groups in the sale of their practices
  • Practice group mergers
• Business disputes, including:
  • Disputes with vendors
  • Disputes with facilities
  • Employment disputes