Medical Staff Credentialing and Governance

Garfunkel Wild’s Medical Staff attorneys have extensive experience in representing hospitals, health systems, ambulatory surgery centers, physicians, medical boards, Chief Medical Officers, Chief Executive Officers, and governing bodies. With over 40 years of experience, our legal team is adept at navigating the complex medical staff credentialing and peer review processes ensuring compliance and efficiency. Our experience includes:

• Peer Review and Disciplinary Actions: Acting as a hospital or facility counsel, we manage medical staff hearings, appeals, and resident disciplinary matters.
• Advisory Services: We provide best practices for procedures and documentation, and resolve credentialing disputes without the need for formal hearings.
• Regulatory Compliance: Our team advises on the complex requirements of reporting adverse actions to the National Practitioner Data Bank and state Medical Boards.

Garfunkel Wild has successfully litigated dozens of medical staff lawsuits in state and federal court, as well as administrative proceedings before the Public Health and Health Planning Council (PHL 2801-b complaints), the U.S. Department of Health and Human Services (Data Bank Dispute Process), and the U.S. Office of Civil Rights (discrimination claims).

Governance:
With deep and up-to-date expertise in health care regulatory and accreditation requirements, Garfunkel Wild offers extensive experience in drafting and revising medical staff bylaws, rules, regulations, and related policies. We serve a diverse range of health care facilities, including hospitals, ambulatory surgery centers, diagnostic and treatment centers, and nursing homes. Our team also provides crucial support during on-site quality inspections conducted by CMS (Centers for Medicare & Medicaid Services), the NYS Department of Health, and the Joint Commission, ensuring compliance and addressing any regulatory concerns.