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Practices » Licensing

Brown McCarroll has more than 20 years of experience representing individual providers and health care facilities before their licensing agencies on enforcement matters and appeals of administrative decisions in Texas, New Mexico, and other states. We represent clients on matters that arise from complaint investigations and routine surveys involving issues ranging from quality of care and professional competency to fraud and abuse allegations.

While we represent clients before many different licensing agencies, we regularly help clients with licensing issues before:

  • Medical Boards
  • Boards of Nursing
  • Boards of Pharmacy
  • Boards of Dental Examiners
  • Hospital, Nursing Home and other facility licensing boards

Physicians

Whether you’re seeking initial licensure or facing disciplinary action, we have the experience to give you solid advice and defend you in administrative hearings. We have also helped health care professionals gain reinstatement of their license following suspension or revocation.

In addition to representing clients before licensing boards, we help physicians address peer review and credentialing matters with health care systems.

Facilities

Our experience includes advising and assisting clients in obtaining licensure and certificates of need.  This includes coordinating the state licensure process with Medicare certification.  Our assistance does not stop at securing licensure, we help clients meet their performance obligations and resolve any questions that may arise over compliance with regulations or patient care standards.  We have extensive experience dealing with corrective action plans, and facilities facing immediate jeopardy situations that threaten their license. 

Accreditation

Many of our facility clients seek Joint Commission, CARF or other accreditations.  Our attorneys can help clients through the accreditation and survey process and assist clients with addressing and resolving deficiencies.  

Medicare Certification and Medicaid Enrollment

Our attorneys are skilled at handling the complexities of the Medicare and Medicaid programs.  We provide representation before the Department of Health and Human Services and the Centers for Medicare & Medicaid Services (CMS).

An important part of representation involves handling payment disputes before the CMS Provider Reimbursement Review Board (PRRB), the independent panel for reimbursement decisions.  We are also well-versed in Medicare Change of Ownership (CHOW) rules, and routinely assist hospitals who choose to incorporate on campus and off-campus provider-based units into their facilities.

Our attorneys help many hospitals qualify for and receive their share of funding due under the Medicaid Medicare and Disproportionate Share Hospital (DSH) programs. The processes for doing so are complex and often generate questions that require our in-depth knowledge of this area.  For instance, once a hospital qualifies as a Medicaid DSH hospital, we provide operational, financial, and legal guidance to help our client receive funding relative to which it is entitled.