Health Care Law
Simas & Associates, Ltd. offers a comprehensive array of legal services to health care providers of all types throughout the State of California. Our experienced attorneys dedicate themselves to not only advancing our clients’ business and professional objectives, but also to craft and pursue optimal resolutions to their specific challenges and problems. We specifically focus in working with providers dealing with the following health care laws and regulations:
Licensing, certification and registration
Our law firm's clients include health care professionals throughout the State of California who are facing licensing investigations, license denials, disciplinary charges (accusations) and petitions for reinstatement. The attorneys at Simas & Associates, Ltd. practice before nearly every health care license agency in the State of California, including the licensing boards within the Department of Consumer Affairs such as the Medical Board of California, Veterinary Medical Board, Board of Registered Nursing, California Board of Optometry, Dental Board of California, Physical Therapy Board and others. Due to the numerous potential collateral consequences that must be handled appropriately to minimize harm to our clients, Simas & Associates, Ltd. provides a comprehensive approach to advising clients about the consequences of licensing discipline and its impact upon our clients’ professional careers.
Peer review, staff privileges and credentialing
Health care providers in California are facing increased scrutiny in credentialing, peer review and staff privileges procedures and practices. The consequence of a denied application or action against hospital privileges can be devastating to the health care provider’s career and trigger reports and licensing action by the appropriate health care licensing board. In addition to the traditional 805 Report, peer review bodies report to the Medical Board of California. New legislation requires hospitals and other facilities to report peer review and other specified issues to the Medical Board on a new “805.01” report.
The attorneys at Simas & Associates, Ltd. represent physicians and other health care providers in all aspects of the peer review process ranging from responding to investigative inquiries, summary suspensions, peer review and “judicial review committee” hearings, appeals and even subsequent litigation for malpractice. Because the outcome of peer review is reportable to the state licensing boards and an increasing number of health care professionals are reported to the National Practitioners Data Bank, we advocate early involvement of experienced legal representation in protecting the interests of our health care professional clients.
Provider status compliance and appeals
Simas & Associates, Ltd. represents all types of health care professionals in matters involving their provider status with health insurance carriers, HMOs, PPOs, Medicare, Medi-Cal and other provider organizations. Because matters involving provider status so seriously impact the health care providers’ ability to receive payment for seeing patients and any adverse outcomes are reported to licensing authorities, Simas & Associates, Ltd. advocates early involvement of experienced legal representation to challenge any provider status action and even to appeal the decision if necessary.
Professional Societies and Associations
Our attorneys have represented and worked with a number of professional societies and associations over the years, including the California Physical Therapy Association, the California Registered Veterinary Technicians Association, and others. In addition to serving as legal counsel to the associations regarding their own operational issues, our clients turn to us for advice regarding scope of practice, standards of practice, reimbursement, regulatory compliance, legislative and other matters. We also advise ethics committees and peer review groups regarding investigations, hearings and the disposition of charges against their members.
We also partner with our professional society and association clients in providing legal assistance "hot lines" for their members, draft articles for their journals and other publications, provide continuing education for members, and serve as expert witnesses in matters involving their industries.
Labor and Employment
Our attorneys frequently advise our health care clients regarding a broad array of employment personnel issues including but not limited to matters involving employment agreements, independent contractor status, wrongful termination, sexual harassment, wage and hour laws, privacy rights and other matters involving the highly regulated workplace. Our goal is to avoid the uncertainty and cost of litigation in administrative proceedings and in court. Simas & Associates, Ltd. has been successful in avoiding expensive litigation by carefully evaluating the case for our clients and with the use of training, and alternative dispute resolution. Nevertheless, when litigation is necessary, our attorneys aggressively advocate our client’s position in court and other tribunals.
Our attorneys include seasoned litigators who can effectively and expertly handle all litigation challenges that might confront our health care clients ranging from contract disputes, benefit claims, provider disputes, medical staff appeals, peer review disputes, Medicare and Medi-Cal payment appeals, professional licensing issues and employment-related matters.