Healthcare and Behavioral Health

The healthcare and behavioral health sectors are among the most heavily regulated and fast-evolving industries, with unique challenges around licensing/regulatory compliance, reimbursement, data privacy, and patient-care standards. The Kessler Collins team brings deep, hands-on experience advising a wide variety of behavioral healthcare providers, including outpatient therapy practices, addiction-treatment centers (including Substance Use Disorder Treatment), psychiatric hospitals, community-based support services (including case management), autism providers, intensive outpatient patient, medication management, crisis intervention, and community mental health providers. We help you anticipate and navigate complex requirements—ranging from mental health parity and 42 C.F.R. Part 2 confidentiality rules to Medicare/Medicaid billing and utilization review protocols—so you can focus on delivering high-quality care. Whether structuring joint ventures, negotiating managed-care agreements, defending restrictive covenant disputes, or litigating payor reimbursement claims, our goal is to craft practical, cost-effective solutions tailored to the behavioral health environment.

Key Services:

• Regulatory Compliance
• Mergers & acquisitions
• Corporate practice of medicine
• Provider contracts
• Regulatory issues and compliance.
• Defending and settlement payor recoupment claims
• Managed care contracts
• Physician restrictive covenant enforcement and defense
• Licensing and certificates of need
• Telebehavioral health
• Staff membership & clinical privileges disputes
• HIPAA privacy & security regulations
• Medicare & Medicaid regulations
• Stark & physician self-referral laws
• Anti-Kickback statute & false claims act