Dr. MICHAEL A. S. GUTH
Attorney at Law
Ph.D. (Economics), J.D.
Licensed in Tenn. since 1998 send e-mail
(E-mail is best method of contact).
116 Oklahoma Ave.
Oak Ridge, TN 37830-8604 Phone: (865) 483-8309
HEALTH CARE LAW
Our law firm advises and counsels on:
Tennessee and federal regulatory compliance for managed care organizations and other industry stakeholders; self-examination of business
practices and developing compliance strategies for insurance regulation, licensure matters, provider network contracting
and administration, and the Medicare Advantage and Medicare Part D Programs; health care licensing and certification.
medical center and health system operations and governance; drafting and reviewing health provider contracts and compliance policies and analyzing plan-provider disputes; real estate leases, IT contracts, stipend agreements, coverage agreements, wound care management agreements and IP licensing agreements.
mergers and acquisitions of health care institutions and physician practices; strategic alliances; unwinds, divestitures and restructurings of physician practices, hospital joint ventures or other arrangements among providers; general transactional work for hospitals, pharmaceutical and device manufacturers, academic medical centers, and other health care providers.
antitrust, labor and employment, employee benefits, independent contractor status.
medical center/physician relations; physician contracts; Stark and and anti-kickback statute; drafting and reviewing physician employment contracts; Medicare reimbursement; third-party payor contract negotiation and enforcement; development of integrated delivery systems.
medical ethics and patient care issues; peer review and other disciplinary issues; health care investigations (teach a graduate level course on Conducting Internal Investigations); health care fraud and abuse; False Claims Act.
changes in benefits laws, including Health Care Reform, HIPAA, COBRA, FMLA, and ERISA
tax-exempt financing for medical centers, nursing homes, and other health care facilities; tax exemption issues.
news bulletins for internal medical staff and clients about regulatory, political and industry events that affect health care law.
documentation related to tax, labor, and employment law issues and informs staff and of those as needed. Extensive knowledge of Internal Revenue Code, ERISA, and other relevant laws and regulations (e.g., HIPAA, FMLA, Health Care Reform, etc.) affecting employee benefits plans.
presentations, on occasion, internally and externally, explaining significant laws (e.g. Medicare Part D).
specific legal guidance (e.g. those concerning discrimination, participant communication, and privacy) directly to clients, prospective clients, consultants, and account management personnel.