Health law for health care organizations in Texas and beyond

Reed Claymon represents governmental, nonprofit, and for-profit health care entities throughout Texas and beyond. Our clients include hospital systems, community hospitals, physician practices, clinics, nursing facilities, and health care associations.

The firm’s health law work centers on regulatory compliance and operational counseling, along with governance, medical staff matters, privacy, reimbursement, and related transactions. Reed Claymon has particular experience with issues affecting Texas providers and public health care entities, as well as Medicare compliance and other federal health care regulatory matters for organizations outside Texas. Many clients use the firm as their outside general counsel for both routine and consequential matters. That work ranges from contracts and policy questions to board and medical staff issues, compliance reviews, investigations, surveys, and administrative proceedings.

Focus: Texas hospital and provider-side health law, regulatory compliance, and federal health care matters

Clients: hospitals, districts, authorities, physician groups, clinics, nursing facilities, associations

Work: regulatory and operational counseling, governance, medical staff, payment programs, and enforcement

Scope: Texas-based counseling and representation, with Medicare compliance and other federal health care regulatory matters extending beyond Texas

Regulatory counsel for complex operations and governance

Much of the firm’s health law work sits at the point where legal requirements and operational decisions overlap. Hospitals and other providers look to Reed Claymon for guidance on board governance, medical staff relationships, public-law obligations, reimbursement and payment programs, compliance structures, and regulatory questions that can affect how an organization functions day to day.

The practice also includes matters that demand immediate, experienced judgment. These include government surveys and corrective action planning, EMTALA issues, enforcement proceedings, self-disclosures, and other regulatory situations that carry significant operational and reputational risk. The firm’s role is to provide clear options and practical, institution-focused advice.

Representative matters

Advised hospitals and physician organizations on compliance with HIPAA, Stark, anti-kickback, civil rights, and related regulations, and helped update compliance programs, policies, and medical staff rules and regulations.
Drafted and revised governing body bylaws and medical staff bylaws for hospitals and health systems, including system-wide medical staff documents.
Guided hospitals through peer review and credentialing matters, including fair hearings, medical staff disputes, and governance-sensitive proceedings.
Counseled providers on EMTALA, Medicare Conditions of Participation, provider enrollment, survey response, and administrative enforcement issues.
Assisted hospital districts and authorities with governance, open meetings, open records, elections, tax rate setting, and related public-law matters.
Advised health care entities on fraud and abuse and self-disclosure matters involving physician arrangements, billing practices, and related compliance concerns.
Represented hospitals facing closure or restructuring, including strategic planning for continued services, financing, and transitions to new operators or structures.
Counseled hospitals, nursing facilities, and senior living providers regarding supplemental payment programs, Medicaid waiver-related arrangements, and long-term care participation structures.

Areas of work

Regulatory compliance and operational counseling for hospitals and other providers
Medical staff bylaws, credentialing, peer review, and fair hearing processes
EMTALA, Medicare Conditions of Participation, survey readiness, and administrative enforcement
HIPAA, privacy, cybersecurity, patient rights, and related compliance issues
Fraud and abuse, Stark, anti-kickback, billing compliance, and self-disclosures
Public hospital district and hospital authority governance, open meetings, open records, elections, and tax matters
Supplemental payment programs, Medicaid waivers, reimbursement structures, and long-term care participation issues
Health care contracts, affiliations, joint ventures, and operational restructuring

Clients in this practice

Hospitals and health systems
Hospital districts and hospital authorities
Physician groups and multi-specialty practices
Rural health clinics and community health providers
Nursing facilities and other post-acute and senior living providers
Health care associations and related nonprofit organizations

For health care organizations across Texas