Lauren M. Levine
Partner
516-393-2240
Medical Staff Credentialing and Governance
- Overview
- Attorneys
- Insights
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.
Practice Group Contacts
Team
New I.G. Issues First Report
The first report issued under the new OIG Inspector General, T. March Bell, highlights the OIG’s reliance on “advanced analytical tools and the collaborative skills of its innovative, multidisciplinary workforce” to identify, prioritize, and mitigate risks.
OIG Concerns Persist Amid Workforce Reductions
Significant federal workforce reductions and numerous government-wide programmatic changes headlined the 2025 news cycle. Under that backdrop, the U.S. Department of Health and Human Services, Office of Inspector General fulfilled its annual statutory obligation by releasing its 2025 Top Management and Performance Challenges Report.
New Jersey Mandates Electronic Employee Separation Reporting
Every employee separation in New Jersey, from resignations to layoffs, must now be reported electronically through the Department of Labor’s Employer Access Portal. This means employers must proactively report separations, including terminations, resignations, layoffs, retirements, and other forms of job separation – regardless of whether the employee files for unemployment benefits.
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.
Practice Group Contacts
Team
New I.G. Issues First Report
The first report issued under the new OIG Inspector General, T. March Bell, highlights the OIG’s reliance on “advanced analytical tools and the collaborative skills of its innovative, multidisciplinary workforce” to identify, prioritize, and mitigate risks.
OIG Concerns Persist Amid Workforce Reductions
Significant federal workforce reductions and numerous government-wide programmatic changes headlined the 2025 news cycle. Under that backdrop, the U.S. Department of Health and Human Services, Office of Inspector General fulfilled its annual statutory obligation by releasing its 2025 Top Management and Performance Challenges Report.
New Jersey Mandates Electronic Employee Separation Reporting
Every employee separation in New Jersey, from resignations to layoffs, must now be reported electronically through the Department of Labor’s Employer Access Portal. This means employers must proactively report separations, including terminations, resignations, layoffs, retirements, and other forms of job separation – regardless of whether the employee files for unemployment benefits.
