Administrative Health Law

The Administrative Health Law Group is responsible for representing healthcare providers before both state and federal agencies, and for guiding clients through the maze of complex state and federal healthcare regulations. Attorneys at Hancock, Daniel, Johnson & Nagle, P.C. have successfully represented clients in all areas of healthcare regulation for nearly three decades.

Representative practice areas for our Administrative Health Law group include:

• Certificate of Public Need (COPN)
  
• Medicare and Medicaid appeal issues
• Regulatory compliance
• Board of Medicine representation
• Licensing matters

Representative recent projects include:

• Obtaining COPN approval for a hospital-based nursing facility replacement involving transfer of ownership through a newly created, wholly owned entity.
  
  
• Successfully representing a hospital, nursing facility, cancer center, outpatient diagnostic facility and equipment providers through the COPN process, ranging in scope from hospital replacements to orthopedic lithotripsy.
  
  
• Obtaining favorable appeal results on Department of Medical Assistance Services (DMAS) cost report and specializing care issues before DMAS and in the Court of Appeals of Virginia.
  
  
• Advising clients on OIG self-disclosure protocol requirements applicable following the engagement of a Medicare-excluded party.
  
  
• Preparing health professional board licensees for Board appearances on issues ranging from quality of care to continuing education.
  
  
• Assisting facility licensees in addressing quality of care, staffing, and management deficiencies, as well as retaining their licenses with the Virginia Departments of Health; Mental Health, Mental Retardation and Substance Abuse Services; and Social Services.
  
  
• Resolving mixed issues of facility licensure and reimbursement, such as assisting a public facility in obtaining Medicare rehabilitation facility certification in order to address patient needs and staffing.
  
  
• Responding to potential and actual decertification of a nursing facility, delicensure of group homes and drug treatment facilities, and denial of payment to individual patients and facilities by DMAS and third-party payors.