At Mette, Evans & Woodside, our Healthcare Law team in Harrisburg is dedicated to addressing the full spectrum of legal issues facing healthcare providers. We go beyond conventional counsel, combining in-depth industry knowledge with aggressive advocacy in areas that threaten your practice and reputation.
What We Do
Our business attorneys assist physicians, nurses, dentists, advanced practice providers, pharmacists, clinics, and ancillary healthcare businesses with:
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Licensing Disputes & Professional Discipline
- Defense before state licensing boards, such as the State Boards of Medicine, Nursing, Dentistry, and Pharmacy
- Assistance with investigations, warning letters, and notices of intent
- Representation at hearings and informal conferences
- Appeals to administrative bodies and the Commonwealth Court
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Compliance Audits & Regulatory Readiness
- HIPAA, Medicare/Medicaid audits, Stark Law, Anti-Kickback, False Claims Act
- Mock internal audits and gap analyses
- Development of risk-based compliance programs, policies, and employee training
- Consultation on cybersecurity, EHR privacy, billing, and managed care arrangements
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Provider Defense & Litigation
- Defense of fraud, overbilling, kickback, peer review, or credentialing claims
- Protection in medical staff privileging disputes, hospital suspensions, and peer review hearings
- Representation in payer recovery audits, exclusion, and repayment demands
- Coordination with malpractice litigators when adverse clinical outcomes affect licensure or credentialing
In‑Depth Licensing Defense
Navigating state licensing pitfalls requires board-specific knowledge. Our team understands how each regulatory body functions:
- Credentials Investigations: We evaluate allegations—such as chart errors, patient complaints, prescribing irregularities, substance use—and prepare defensible responses.
- Hearing Strategy: From witness prep to expert selection, our attorneys craft persuasive defenses at administrative hearings, licensing conferences, and informal reviews.
- Appeals & License Restoration: If discipline occurs, we manage board appeals, petitions for reinstatement, and Commonwealth Court filings—seeking stays and demonstrating rehabilitation.
Audit Preparedness & Compliance Counseling
Regulatory audits can result in significant exposure. Our services include:
- Risk Assessment & Auditing: We conduct internal reviews targeting billing trends, documentation, HIPAA safeguards, and third-party risk assessments.
- Policy Design & Training: We create compliance manuals, conduct staff webinars, and handle any self-disclosures to government agencies.
- Responding to Investigations: We guide documentation collection and handle interviews with CMS, OIG, state Medicaid, and private payers.
Provider Defense: Beyond Licensure
When healthcare professionals face allegations of fraud, non‑compliance, or disciplinary measures, our attorneys provide multifaceted support:
- Billing/Claims Disputes: We engage in reimbursement denials, appeals, audit defense, and negotiation of settlements or repayment plans.
- Credentialing/Privileging Support: We protect your hospital or plan privileges, preemptively or after adverse credentialing actions or peer review challenges.
- Intersection with Other Matters: Our team collaborates across disciplines—linking licensing, compliance, malpractice, and contract disputes to deliver seamless representation.
Why Choose Us
- Regulatory Expertise: We stay on top of evolving HIPAA regulations, Stark Law limits, and Pennsylvania’s board procedures—bringing tested compliance methods and litigation strategies.
- Responsive Advocacy: Whichever stage you face, from informal letter to administrative hearing or civil audit—we deliver timely guidance and action.
- Tactical Collaboration: Our attorneys coordinate with clinical experts, health economists, and IT specialists to substantiate your defense.
- Local & Appellate Reach: Serving central PA with offices in Harrisburg, York, Sunbury, and Trevose, we’re equipped for Commonwealth Court appeals or federal administrative litigation.
Reach Out for a Confidential Consultation
Whether you’re navigating a licensing investigation, undergoing a regulatory audit, or litigating a provider-level dispute, early legal counsel is essential. Don’t risk your credentials, reimbursement, or practice—contact our healthcare business attorneys at (717) 232‑5000 or request a confidential consultation online. We protect what matters most: your license, your revenue, and your reputation.