For state and local public health departments, an important part of their work is addressing legal issues related to the health of their communities. To meet their responsibilities, state and local public health departments will often involve legal counsel and draw on the knowledge and experience of program staff. Briefly explain the key roles of legal counsels at state and local health department
key roles of legal counsels at state and local health department :
• Provides counsel on health care laws including those on
privacy, Medicare, Medicaid and other government programs, fraud
and abuse, physician self-referral and anti-kickback laws, and
• In collaboration with compliance staff, develops compliance policies and procedures, and works closely with compliance to investigate and resolve compliance concerns.
• Provides guidance on revenue cycle matters, including collection and third-party liability issues.
• Provides guidance on billing, coding, and other reimbursement matters for compliance with government and commercial health plan requirements.
• Negotiates, drafts, and reviews contracts and other legal documents, including real estate leases, property and asset acquisitions,purchasing, joint ventures, managed care, physician services, licenses and other intellectual property agreements, academicaffiliations, and financing and bond documentation.
• Performs legal and factual research necessary to draft and analyze various contracts, policies, and other documents and to advise internal clients.
• Serves as a resource to the Deputy General Counsels, Chief Legal Officer, CEO, UWHCA Board of Directors, and others on the legislation creating UWHCA, legal and tax status of UWHCA and its affiliates, leases, affiliation agreements and other transactions with the University of Wisconsin School of Medicine and Public Health (UWSMPH), the University of Wisconsin (UW), the Board of Regents, and others.
• Responds to patient and external institutional issues as assigned.
• Provides counsel on medical staff matters, including bylaws, medical staff corrective action, and peer review. disciplinary actions of medical staff and house staff.
• Provides counsel for legal aspects of patient care with significant medico-legal dimensions, including informed consent, medical
records/privacy issues, and patients' rights issues.
• Works cooperatively with attorneys and business leaders representing UWSMPH, UW, joint venture partners, and affiliated entities.
• Assists Risk Manager in management of claims.
• Assists in promoting efficiency of the legal department by preparing templates, forms, outlines, instructional materials, and other tools and resources.
• Serves on boards, committees, and work groups as assigned.
• Performs other duties as assigned.