Nelson Hardiman is experienced in representing dentists and dental specialists in each of the unique areas that dentistry touches. Dentists and dentistry practices must stay current with the various laws and regulations that govern the industry, and Nelson Hardiman is frequently called upon to ensure compliance with those laws and regulations as well as with evolving best practices. Nelson Hardiman represents and counsels a large number of dentists on a wide range of business, regulatory, and strategic challenges. Recently, for example, our firm successfully represented a dentist in Southern California who had been suspended from participating in the Denti-Cal program by the Department of Health Care Services. Nelson Hardiman’s vigorous challenge resulted in the Department of Health Care Services’ rescission of the suspension.
Nelson Hardiman’s services span the entire spectrum of issues facing dentists, dental specialists, and dental practices. Nelson Hardiman has assisted dentists in various business transactions, including the formation of professional corporations, the formation of management services organizations, and the preparation of shareholder agreements, associate buy-in agreements, purchase and sale agreements, space-sharing agreements, managed care network contracts, and dental equipment lease agreements. We have assisted dentists in defending against various regulatory issues, including dental board investigations for reasons of negligence, DUI or substance abuse, criminal charges, record-keeping, and fraud, and defending against reimbursement audits and investigations by government payors. Nelson Hardiman has advised dentists on a variety of compliance issues, including compliance with the Stark and Anti-Kickback Statute, compliance with Denti-Cal and the California County dental program, compliance with HIPAA and state patient data privacy and security requirements, and compliance with documentation and medical necessity requirements. Nelson Hardiman is also experienced in litigation matters, including licensure defense and appeals, Denti-Cal provider enrollment appeals, Denti-Cal and private payor reimbursement disputes, overpayment appeals, False Claims Act / Qui tam whistle-blower litigation defense, Denti-Cal suspensions and Medicare exclusions, dental equipment disputes, and other general business and employment litigation matters