• Contacts

    Meg S.L. Pekarske
    (608) 229-2216 | email
    Bryan K Nowicki
    (608) 229-2218 | email
    Karla Hutton Pinkerton
    (608) 229-2238 | email
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  • Reinhart Boerner Van Deuren s.c

    1000 North Water Street, Suite 1700, Milwaukee, Wisconsin 53202 United States

    About Us

    For more than 20 years, Reinhart’s Hospice and Palliative Care Group has been dedicated to the issues facing hospice providers in a highly regulated environment.

    Since its inception, Reinhart’s Hospice and Palliative Care Group has evolved into one of the largest and most robust in the United States. Our attorneys work with hospices in nearly every state, and have a commitment to hospice that goes beyond the practice of law. With a mission to deliver legal solutions that ensure hospice providers across the country can fulfill their mission, our attorneys are uniquely suited to understand the values, passion and dedication of our clients.

    Providers nationwide place their trust in us based on the outcomes we have achieved through decades of work. Our extensive knowledge of hospices, their missions and business needs, and the complicated government regulations they face has allowed us to serve as trusted advisers to many hospices in the industry. We empower our clients by taking control of legal matters and successfully navigating the complex network of rules and regulations. As a result, we deliver confidence and reassurance while restoring a sense of control for hospice providers.

    We assist hospice and palliative care providers across the full continuum—regardless of size—and continually adapt and effectively respond to a changing industry. Our team regularly counsels hospices on crisis management, litigation and compliance matters. We also handle corporate issues and serve as lead counsel for all of the firm’s hospice transactions, advise tax-exempt health care entities on exemption and other tax-related issues, and challenge government audits. Our depth of experience, combined with a multidisciplinary team that includes attorneys from related practices (e.g., Corporate, Tax, Litigation, Labor and Employment), allows us to achieve successful outcomes across the full spectrum of hospice operations.

    Our primary services include:

    • Government Audits (e.g., OIG, ZPIC, UPIC, MIC, State Medicaid)
    • Internal Investigations
    • 60-Day Repayment Analyses
    • Palliative Care Development
    • Hospice Contracting (e.g., Facility, Vendor and Physician)
    • Medicare and State Licensing Surveys
    • Mergers and Acquisitions
    • Fraud and Abuse Counseling and Defense

    Crisis Management, Litigation and Compliance Investigations – We proactively tackle the various crises hospices may face, and utilize our problem-solving and leadership skills to our clients’ maximum benefit. Our team is skilled at addressing a crisis that develops from external sources, such as a government subpoena, search warrant or civil investigative demand, or a False Claims Act lawsuit commenced by the government or a whistle-blower. Our team is also adept at internal crisis management relating to compliance, patient safety or employee issues, including conducting any internal investigation that may be warranted.

    Government Audit Responses – We understand the serious implications that government audits can present to a hospice. Our success is driven by our in-depth understanding of the unique clinical, legal and operational issues in hospice. Our experience allows us to handle audits efficiently and cost effectively. We respond to and defend hospices in all types of government audits, including those initiated by the Office of the Inspector General (OIG), Zone Program Integrity Contractor (ZPIC), Unified Program Integrity Contractor (UPIC), Supplemental Medical Review Contractor (SMRC), Medicaid Integrity Contractor (MIC), Medicare Administrative Contractor (MAC) and State Medicaid programs.

    Hospice Regulatory and Compliance Issues – We counsel hospices on nearly every type of regulatory compliance issue, both large and small, including vendor, facility and other contracts; medical director and other physician relationships; licensure, certification and Medicare enrollment; Medicare and Medicaid survey issues; and reimbursement, including repayments and disclosures. We advise on fraud and abuse matters, including Anti-Kickback and False Claims, and on structuring and performing internal compliance and billing audits. We also assist clients in identifying ways to grow and improve their organizations by developing various models for non-hospice palliative care, new facility development, and by structuring direct-shared inpatient units in hospitals and nursing facilities, and new lines of business.

    Hospice Transactions, Mergers and Acquisitions – We assist hospice programs develop their business through acquisitions and divestiture. Examples include: representing a national hospice provider in its acquisition of hospice programs, successfully negotiating and closing the divestiture of a large hospice program, negotiating and closing a member substitution, negotiating and closing a merger of hospices, and representing a client seeking to achieve a benefit for transferring its hospice program. Additionally, we represent hospices in exploring joint ventures and affiliations, including a joint venture to explore a management service organization for hospice and long-term care businesses. We work closely with exempt clients to create legal structures and relationships that achieve desired strategic benefits.