Practice Areas We Specialize In
Fraud and Abuse
Our firm has defended against false claims act allegations in both state and federal courts and have represented corporate providers in fraud…
investigations. We have advised numerous health care clients on the establishment and implementation of compliance plans, and in the application of the fraud and abuse laws in the structuring of transactions. We have also prepared clients for audits, defended clients through audits, and successfully challenged the results of those audits. We have guided clients through self-disclosures. We have conducted internal investigations for clients. We have successfully defended clients in qui tam actions, and in both state and federal enforcement actions.
HIPAA/Privacy and Security Laws
RFM Legal assists health care institutions and practices with implementation of HIPAA, and our health care clients regularly seek our advice on nuances of ongoing HIPAA…
compliance. We have also advised clients on the development and implementation of their HIPAA compliance plans. We also assist clients in navigating cyber threats and on-going challenges by:Developing tailored policies and guidelines for client cyber governance, data breach preparedness, and compliance with federal and state notification and accountability laws;
Contracts and Business Transactions
Consolidation is becoming more and more common in today’s health care marketplace and RFM Legal is routinely involved in the preparation…
and negotiation of buy-sell agreements and advising healthcare start-ups. We are regularly advising clients on how to create integrated delivery systems among various healthcare providers to achieve business objectives. Our attorneys are also experienced in drafting, negotiating, and, if necessary, enforcing contracts with third party vendors. We also regularly provide counsel on choice of entity decisions, corporate governance, and bylaws.
Regulatory Compliance
RFM Legal provides compliance advice and services to its clients, including policy development, contract review, advice regarding fraud and abuse laws,…
response to government audits and investigations, qui tam litigation, self-reporting of overpayments to federal and state health care programs, and reimbursement issues. Our clients also rely on us for representation in emerging but critical areas of health care delivery as they grapple with the major transitions underway in the health care delivery system. Specifically, we advise our clients about quality of care and patient safety issues, telemedicine and telehealth, and new care delivery and reimbursement models.
Corporate Formation and Governance
RFM Legal has experience with the varied and complex issues that arise when beginning a company or forming a spin-off. We advise both…
commercial entities and not-for-profit entities in connection with the founding and operation of new technologies and product lines. We have experience in negotiating technology licensing agreement with start-up companies or for start-up companies.
Mergers, Acquisitions and Reorganization
RFM Legal routinely works with health care clients undergoing organizational changes, including merger, stock acquisition, asset transfer, venture, or…
joint any other context in which organizational changes routinely occur. We have advised and guided clients in the health care sector on numerous transactions including the purchase of physician practices, long term care facilities and the merger of two management services organizations. We also have extensive experience in tax and business structuring, including straight asset and stock sales, taxable and tax free mergers, spin offs and corporate liquidations.
Telehealth
RFM Legal works closely with healthcare clients who provide telehealth services We have assisted many clients (including hospitals, surgery…
centers, pain management practices) in establishing and expanding telehealth services and advise them on the ever-changing state and federal laws that govern issues of security/privacy, insurance coverage and reimbursement.
Third Party Legal Defense
RFM Legal regularly works with physicians, surgery centers, medical funding companies and other healthcare providers in response to…
inquiries and discovery efforts from litigants, including insurance companies, that are oftentimes over broad and intrusive.
Medical Funding/Factoring Companies
RFM Legal has represented the majority of medical funding and factoring companies in California in…
all aspects of their business – from entity formation and reorganization, to ongoing regulatory compliance and transactional matters, RFM Legal understands the intricacies of operating a medical funding and factoring company and the legal issues that these companies deal with in California.