Medical Education

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HLB regularly counsels academic medical centers and teaching hospitals concerning reimbursement, affiliations, accreditation, and other operational requirements impacting medical education programs. Our ability to help clients navigate these complex legal and regulatory issues is particularly strengthened by both our broad health law expertise and our nuanced understanding of reimbursement, compliance, and medical staff issues in this complex area of the law.

In particular, HLB regularly advises AMC/TH clients on direct graduate medical education (DGME) and indirect medical education (IME) reimbursement issues (i.e., intern and resident full time equivalent (FTE) cap and per-resident amount issues, including resident rotator issues), teaching physician supervision guidelines, moonlighting compliance, accreditation matters, GME affiliation agreements, and resident rotation and employment issues. HLB serves as Provider Reimbursement Review Board (PRRB) appeal counsel for medical education-related issues, among others. And our team will work to ensure compliance with medical education laws.

Some of the routine services that our Medical Education attorneys may provide include:

  • Advocating for appropriate medical education reimbursement through PRRB appeals and/or other regulator communication
  • Counseling with regard to IME/DGME reimbursement issues
  • Drafting GME affiliation agreements, resident and medical student rotation agreements, and resident employment agreements
  • Advising on application of federal and state fraud and abuse and physician self-referral laws in the medical education context
  • Advising teaching hospitals on legislative and regulatory opportunities to expand GME reimbursement
  • Medical Staffing issues, including advising with regard to residents/fellows employment issues, dealing with licensure issues and faculty specific issues, and advising on moonlighting restrictions for residents and fellows
  • Advising hospitals concerning billing for teaching physician services under Medicare and Medicaid and handling self-disclosures concerning these issues

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For media assistance, please contact Maura Fisher at 202-580-7714.