Medical practice formation, HIPAA compliance, provider and vendor agreements, and healthcare transactional work — at one transparent price. Transactional matters only; no malpractice or regulatory enforcement defense.
Average quote turnaround: under 1 hour · Free consultation, no obligation
Healthcare law is one of the most heavily regulated practice areas in business law. The regulations exist for good reasons but they create legal complexity that doesn't apply elsewhere. We help providers and provider-adjacent businesses navigate the rules — entity formation, regulatory compliance, transactional work, and the day-to-day contract issues that come with operating in healthcare.
Forming a healthcare practice involves choices that don't come up in other businesses. The corporate practice of medicine doctrine — followed in New York and New Jersey — restricts who can own a medical practice (only licensed physicians, in most cases). Professional corporations (PCs) and professional limited liability companies (PLLCs) are typically required entity types. Management services organizations (MSOs) — used by non-physician investors to participate in healthcare practice economics — require careful structuring to comply with the corporate practice rules.
We form medical, dental, mental health, physical therapy, and other licensed-professional practices. We also form MSOs for non-clinical investors who are building healthcare-adjacent businesses (administrative services, technology, real estate). The structuring conversation up front determines what's possible later — switching structure post-formation is often expensive or impossible.
HIPAA is the foundational federal regulation governing patient health information. Compliance requires written policies and procedures, business associate agreements with vendors who handle patient data, employee training, breach notification procedures, and ongoing risk assessments. Non-compliance is enforced through audits and penalties that can be substantial.
We help practices and healthcare-adjacent businesses build HIPAA compliance frameworks: the policies, the agreements, and the procedures. We also help with state-level health information privacy laws that overlay HIPAA (New York's SHIELD Act, for example, has additional requirements that apply to healthcare providers and others). For technology businesses serving healthcare clients (software vendors, billing companies, marketing firms), we draft business associate agreements and help structure operations to be HIPAA-compliant.
Healthcare practices contract with a wide range of counterparties: employee providers (physicians, nurses, technicians), independent contractor providers, group purchasing organizations, billing services, EHR vendors, lab services, equipment leasing companies, and more. Each contract type has its own framework, and many of them have healthcare-specific compliance issues — Stark Law and Anti-Kickback Statute considerations for arrangements that could be seen as compensation for referrals, fair market value documentation, and HIPAA business associate provisions for vendors with access to patient data.
We draft and negotiate provider agreements (employment and independent contractor), vendor contracts, and the wide range of operating agreements healthcare practices need. The Stark and Anti-Kickback compliance overlay is the differentiator from non-healthcare commercial contract work — these regulations carry serious penalties and govern arrangements that don't look problematic at first glance.
Buying, selling, or merging healthcare practices involves the same structural issues as other business transactions plus a healthcare-specific overlay: licensure transfers, Medicare and Medicaid provider number transitions, payer contract assignments, HIPAA-compliant data transfer, regulatory disclosures, and corporate practice compliance for any non-physician buyer involvement. Joint ventures between healthcare practices and non-healthcare partners (real estate investors, technology companies, MSOs) require careful structuring to comply with the corporate practice rules.
We handle healthcare transactions from solo-practitioner sales ($250K-$1M deal size) up to mid-sized practice mergers and MSO investments ($5M-$25M). The deal structure — asset purchase vs. stock purchase, transition employment terms, earn-outs, restrictive covenants — interacts with the regulatory issues in ways that pure transactional attorneys can miss.
Telehealth practice — providers delivering care across state lines, often through digital platforms — implicates a different regulatory framework than traditional in-person practice. Multi-state licensure issues. Variations in state telehealth laws. Standard-of-care obligations for remote care. Prescription rules (especially for controlled substances). HIPAA compliance for telehealth platforms. Reimbursement and payer contracts that may have specific telehealth provisions or restrictions.
We help telehealth practices structure their multi-state operations: licensure planning, supervisory structures for non-physician providers, platform contracts, and patient consent flows. We also help digital health businesses (software, platforms, analytics, AI tools) understand where they sit in the regulatory framework — some are healthcare-regulated, some aren't, and the line affects almost everything about how the business operates.
Provider licensure issues come up in healthcare law more often than in other practice areas. Initial licensing applications. Multi-state licensure for telehealth. Credentialing applications with hospitals and payers. Disciplinary actions. License suspension or revocation defense (a complex area that often involves administrative law procedures specific to each state's licensing board).
Most of our licensing work is on the transactional and compliance side — making sure the licensure issues are addressed correctly when forming a practice, when expanding into new states, when adding new providers, or when bringing in non-physician partners. For full disciplinary defense matters, we typically refer to specialists in that area.
"Tatiana was amazing from the very beginning. Truly one of a kind experience."
Yes. We form professional corporations (PCs) and professional limited liability companies (PLLCs) for physicians, dentists, mental health providers, and other licensed healthcare practitioners. Both states have specific rules on the corporate practice of medicine — we structure practices to comply, including the requirements about who can own equity in a healthcare entity.
Yes. Flat-fee HIPAA compliance documentation suites are well-suited to small and growing practices — Notice of Privacy Practices, Business Associate Agreements with vendors, breach response procedures, and workforce policies. We tailor to the practice's specific size, services, and technology, not generic templates that don't reflect how the practice actually operates.
Yes. Physician and provider employment agreements involve specific industry considerations — restrictive covenants with healthcare-appropriate scope, productivity bonus structures, call coverage, malpractice insurance tail coverage, and licensure-related termination terms. We negotiate on your behalf with the practice or institution.
Yes — for straightforward small to mid-sized transactions. We draft asset or equity purchase agreements, handle due diligence, and coordinate the closing. Practice sales involve healthcare-specific considerations like patient record transfer, payor contract assignment, and licensure-related closing conditions. Larger institutional transactions may require a different fee approach.
No. We focus on transactional healthcare law — practice formation, contracts, transactions, and compliance documentation. Malpractice litigation, professional licensing board defense, and federal or state fraud investigations aren't part of our practice. If your matter requires defense counsel, we'll tell you during the consultation and refer you to attorneys who handle it.
Yes — at least for transactional and structuring questions. Telehealth has changed significantly since 2020, and the rules vary state by state. We work with telehealth platforms and multi-state practices on the contractual and structural questions that come up; for state-specific licensing applications outside NY and NJ, we coordinate with local counsel where required.
Yes. BAAs are required by HIPAA whenever a vendor handles protected health information on your behalf. We draft BAAs that protect the practice and reflect the actual data flow, rather than generic forms that often miss the specific risks of how a vendor actually integrates with your practice.
Healthcare regulation is heavily state-specific — corporate practice rules, licensure, and scope of practice all differ between New York and New Jersey. Tatyana Agarunov is admitted in both states, allowing seamless representation for practices, providers, and healthcare businesses operating across the metro area.
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