Our interdisciplinary Academic Medical Centers (AMC) team is committed to helping you navigate the most complicated health care delivery issues in the nation, complex organizational structures and your wide-ranging mission-critical activities of education, research and clinical care. Our AMC clients often face the most difficult and complicated patient care issues in our health system. Polsinelli attorneys know that the components of an academic medical center must collaborate to carry out their special missions of education, research and clinical service.

Polsinelli understands our clients' business and the operational implications of our legal advice. We leverage a national health care team of more than 200 lawyers to assist clients to stay ahead of potential issues, avoid regulatory problems, drive innovation and support execution of strategy.

Research & Discovery

• Clinical research
• Federally funded grants/contracts
• Commercially funded research
• Intellectual property
• Scientific misconduct
• Life sciences
• Animal research

Health Care Delivery

• Health care operations in all care settings
• Experience in critical health care operational issues
• GPO and supply chain, CLIA laboratories, specialty pharmacies and 340B, behavioral health, health information technology/electronic medical records; licensure and certification
• Facilities
• Unique health care regulatory frameworks
• Financial reimbursement including emerging models
• Risk management and professional liability matters
• Patient relations

Not-for-Profit Governance & Finance

• Tax-exempt issues
• Financing mechanisms
• Investments/endowments
• Board governance
• Relationships with universities
• Bankruptcy

Workforce

• Labor
• Employment relationships
• Educational programs for non-physician health care professionals
• Immigration/Visas
• Diversity and inclusion
• Employee benefits and executive compensation
• Pension plans
• OSHA
• Medical staff
• Credentialing

Lobbying & Congressional Affairs

• Advocacy at state and federal level
• Congressional affairs

Regulatory & Compliance

• Fraud and abuse compliance
• Facility and professional reimbursement compliance
• Compliance program development
• Privacy and security
• Antitrust
• EMTALA
• Export controls
• White collar criminal defense
• False Claims Act
• Regulatory audit defense

Unique Academic Issues

• Accreditation standards
• Faculty practice plans
• Residency issues
• Relationship with university
• Mission support and funds flow between components of AMCs
• Student health care centers
• FERPA

Innovative Transactions

• Strategic affiliations
• Clinical alignments
• Mergers and acquisitions
• Joint ventures
• Health system and practice plan structures
• Clinically integrated networks
• Other strategic transactions

Strategic, Contracting & Operational Support

• In-network v. out-of-network strategies
• Patient billing strategies and processes
• Payor contract strategies and legal review, including value-based arrangements
• Payor engagement audits/processes
• In-house data analytics
• Legislative strategy and implementation
• Deal support/managed care due diligence

Payor Disputes

• Out-of-network underpayments and misclassified emergency claims
• COVID-19 reimbursement
• Challenges to new payor medical/billing policies and protocols
• “Surprise Billing” arbitrations
• Payor audits, recoupments, and offsets
• General denials/other in-network disputes
• Class actions