Morris Manning & Martin, LLP

Healthcare

The Healthcare Practice is highly regulated and rapidly changing. Individuals and companies that do business in this arena require legal counsel with a hands-on understanding of the unique issues of the healthcare environment and constructive solutions to their problems. Our Healthcare lawyers practice exclusively in this area and, consequently, have in-depth expertise helping clients properly structure their business relationships and transactions, comply with laws and regulations, and achieve successful resolutions in civil, criminal and administrative proceedings. Our excellent service and skills are evidenced by the practice’s ranking in Chambers USA, a leading legal services ranking publication.

Business Transactions and Regulatory Guidance

Our industry knowledge uniquely positions us to assist clients in structuring transactions and relationships that meet their business goals and comply with state and federal healthcare laws. Our Healthcare lawyers have extensive experience in assisting clients in selecting and forming the appropriate business entity(ies); putting into place effective corporate governance and financial mechanisms; documenting contractual and other legal relationships; implementing tax-efficient business arrangements; and developing, documenting and executing joint ventures, mergers and acquisitions, and other business relationships. We provide our clients with advice and creative solutions to ensure compliance with the myriad of complex healthcare laws and regulations, including the Anti-Kickback Statute, federal and state self-referral laws, Certificate of Need matters, HIPAA’s Privacy and Security Standards, and the Georgia Medical Practice Act.

Healthcare Litigation

Our experienced Healthcare litigators regularly represent clients in litigation in federal and state courts and in administrative proceedings. This representation includes matters ranging from complex business litigation to employment issues to whistleblower actions to provider reimbursement issues to medical staff disputes. Additionally, our attorneys have represented clients in civil and criminal disputes involving allegations of fraud and abuse and false claims. In administrative matters, we regularly represent healthcare providers in Certificate of Need appeals; licensure investigations and disciplinary actions; credentialing matters; Medical staff investigations, adverse actions and hearings; and Medicare/Medicaid audits, investigations, and appeals.

Complete Industry Solutions

Our lawyers' experience in these areas of business transactions, statutory and regulatory guidance, and litigation extends to all components of the healthcare industry, including hospitals and healthcare systems, physician practices (both single and multispecialty), home health agencies, skilled nursing facilities, assisted living facilities, ambulatory surgery centers, and diagnostic imaging centers. This comprehensive knowledge and experience allows us to anticipate and address concerns throughout the healthcare industry.

 

Key Services:

  • Anti-Kickback statute & false claims act 
  • Certificates of Need 
  • HIPAA privacy & security regulations 
  • Medicare & Medicaid audits & appeals 
  • Medicare & Medicaid regulations 
  • Mergers & acquisitions 
  • Staff membership & clinical privileges disputes 
  • Stark II & physician self-referral laws
back
to
top

Areas of Focus

Healthcare Finance

Meet the Team »

The unique regulatory landscape governing healthcare finance demands both the industry experience of our healthcare attorneys and the transactional acumen of our seasoned deal-makers. The combination of Morris, Manning & Martin’s Commercial Finance lawyers and our core Healthcare team forms the foundation of our specialized Healthcare Finance Practice.  

Complete Industry Solutions

Morris, Manning & Martin’s Healthcare Finance lawyers know that healthcare lending professionals need and expect their outside counsel to have cutting-edge insight into both finance and healthcare trends.  We draw upon our experience in both fields to provide sophisticated healthcare lenders with the quality and depth of industry knowledge that these specialized transactions require.

We represent financial services clients in a wide variety of transactions with healthcare businesses, including acquisition finance, working capital, and real estate transactions.  In addition to banks, investment funds, mezzanine lenders and other capital sources, we represent hospitals, ambulatory surgery centers, physician groups, home health agencies, and wellness companies in corporate transactions, joint ventures and formation, and structural, licensing, and regulatory issues.

Representative Transactions

  • Represented an administrative agent in connection with a $350 million term loan and revolving credit facility to a company specializing in the management of prescription drug benefits
  • Counseled a hospital authority in a $32 million bond issuance, including a HUD loan and mortgage-backed bond offering
  • Represented an investment fund in the financing of its acquisition of a behavioral health company.
  • Represented an administrative agent in connection with a $100 million secured term loan and revolving credit facility to a leading medical transcription company
  • Represented an administrative agent in connection with a $20 million secured revolving credit facility for the owner and operator of a series of psychiatric hospital  
  • Represented an administrative agent in connection with a $35 million secured term loan and revolving credit facility to a medical supply company
  • Represented a private equity fund in multiple healthcare investments and related financings
  • Advised a healthcare technology company in a dividend recapitalization from PNC and Goldman Sachs
  • Represented a large healthcare company in multiple issues for its joint venture with a medical center for the development of a freestanding, 50-bed comprehensive inpatient rehabilitation hospital, including financing and restructuring of existing debt, restructuring, and Certificate of Need and licensure issues
  • Counseled a telemedicine company in securing a line of credit from a national bank
  • Represented a leading healthcare payments provider in multiple healthcare investments and related financings, including four acquisitions 

Healthcare Fraud & Abuse

Meet the Team »

Today’s healthcare, pharmaceutical, life sciences and medical device companies face ever expanding state and federal regulations, and are often targeted in parallel civil, criminal and administrative proceedings at the federal and state level. Additional collateral proceedings such as product liability suits, third-party payor suits and employment issues are frequent by products of civil and criminal investigations. Morris, Manning & Martin’s deep expertise in the healthcare sector, along with its collaborative approach of teaming with appropriate substantive and regulatory experts, provides clients with full-service, multidisciplinary representation when confronted with such issues. In addition, the firm utilizes a broad array of mobile resources and technology to respond quickly and efficiently to pressing client needs.

A Diverse Team of Specialists

Attorneys in the Healthcare Fraud and Abuse Practice have extensive training and experience in the healthcare industry and with various federal healthcare compliance and regulatory matters. Two of the Healthcare Fraud and Abuse Practice’s members have served as in-house counsel at large Georgia hospitals, providing unique insight into the challenges faced by many of our clients. Additionally, one of our practice members is a former Assistant United States Attorney who served as the federal Criminal Healthcare Coordinator, in which capacity she oversaw all healthcare investigations and prosecutions in her office’s district, including investigations into and prosecutions of federal providers and pharmaceutical companies. These combined prior experiences provide a unique understanding of the investigative and prosecutorial process, as well as an appreciation for the consequences of the findings that may arise from such inquiries.

Should the need arise, we provide clients with a creative, hardworking litigation team equipped to deal efficiently, effectively and responsively with the most sensitive and challenging legal issues. Each case is engaged with our aggressive, hands-on approach and, always conscious of the cost of litigation, we strive to formulate a strategy to obtain the best possible result, carried out in a practical, cost-effective manner that best applies our resources to meet each client’s objectives.

Representative Matters:

  • Represented pharmaceutical company in complex internal investigation relating to government allegations of off-label marketing, Anti-Kickback violations and potential manipulation of the AWP.
  • Coordinated criminal investigation into pharmaceutical manufacturer and distributor for misbranding and cGMP violations.
  • Represented several clients in EMTALA investigations and appeals.
  • Represented owner of pharmacy in federal investigation and related Board of Pharmacy proceedings relating to Internet pharmacy prescriptions.
  • Represented clients in federal investigation of Medicare billing compliance issues.
  • Represented clients in self-disclosure and negotiation of resolution for governmental payer program enforcement activities.
  • Represented clients in Qui Tam actions involving physician and hospital regulatory compliance issues.
  • Representing clients in regulatory audits and billing compliance reviews on state and federal levels.
  • Represented major pharmaceutical company in connection with investigation and resolution of investigation into certain prescribing practices.
  • Represented large physician practice in investigation of certain off-label prescriptions.
  • Assisted in representation of clinical laboratory testing company with respect to certain unbundling practices.
  • Assisted in representation of president of generic drug company in criminal and civil market allocation investigation.
  • Co-trial counsel for executive of managed care company who brought suit for violation of retaliatory discharge provisions of False Claims Act resulting in substantial jury verdict for executive.
  • Advise on compliance structuring of various arrangements for hospital systems, academic medical center and physician groups.

Healthcare Information Technology

Meet the Team »

Our Healthcare Information Technology Practice provides legal and compliance services to information technology companies and healthcare providers by providing regulatory advice, drafting and negotiating contracts, counseling, and litigation defense in all aspects of the data security, privacy, and use and transmission of data on both a state and federal level.  Our lawyers work collaboratively with our clients to address regulatory compliance with software or product modifications, enhancements and upgrades.  We continually provide information technology companies with regulatory analysis of strategic business plans, products and offerings and daily operational activities.  In addition to regulatory compliance, our lawyers have specific expertise in intellectual property rights and assist clients in proactively protecting intellectual property assets.

Key Services

  • HIPAA/HITECH Privacy and Security Regulations
  • Anti-Kickback Statute and False Claims Act
  • Compliance Programs
  • Stark II Physician Self-Referral Laws
  • Data Privacy and Security Regulations
  • Medicare and Medicaid Regulations
  • Standards for Electronic Medical Records and Personal Health Records 

Experience

Our firm has significant experience in data privacy and security, both on state and federal levels.  Our lawyers have unique experience and expertise in not only healthcare regulations, including HIPAA, but also the impact and application of healthcare regulations to information technology organizations.

Our lawyers have counseled numerous clients on issues related to electronic exchange of health information, personal health records, pay for performance and payer programs, discovery, document preservation issues, document retention policies, and data breach issues.  We advise our clients regarding the electronic exchange of health information and when security breaches, theft, or loss of electronic storage media or health records occurs, including how to prevent such breaches and thefts in the future.  We also work with our clients to address regulatory compliance and best practices in the changing electronic medical record industry. 

Our industry knowledge and experience uniquely positions us to assist clients in structuring compliant transactions, addressing the regulations to establish relationships that meet their business goals and comply with the state and federal healthcare laws.

Healthcare Litigation

Meet the Team »

The Healthcare Practice is highly regulated and rapidly changing. Individuals and companies that do business in this arena require legal counsel with a hands-on understanding of the unique issues of the healthcare environment and constructive solutions to their problems. Our Healthcare litigators practice exclusively in this area and, consequently, have in-depth expertise helping clients achieve successful resolutions in civil, criminal and administrative proceedings. Our excellent service and skills are evidenced by the practice’s ranking in Chambers USA, a leading legal services ranking publication. 

Comprehensive Representation

Our experienced Healthcare litigators offer deep healthcare expertise and significant experience with sensitive and high-pressure matters. Our clients span the healthcare industry, including for-profit and nonprofit healthcare providers, rural and community hospitals, pharmaceutical companies, managed care organizations and physician practice groups. We regularly represent these clients in litigation in federal and state courts and in administrative proceedings, ranging from complex business litigation to employment issues to whistleblower actions to provider reimbursement issues to medical staff disputes. Our team represents clients in civil and criminal disputes involving allegations of fraud and abuse and false claims. We also represents healthcare providers in administrative matters such as Certificate of Need appeals; licensure investigations and disciplinary actions; credentialing matters; Medical staff investigations, adverse actions and hearings; and Medicare/Medicaid audits, investigations, and appeals.

Representative Matters

  • Co-trial counsel for executive of managed care company who brought suit for violation of retaliatory discharge provisions of False Claims Act resulting in substantial jury verdict for executive.
  • Advise on compliance structuring of various arrangements for hospital systems, academic medical center and physician groups.
  • Successfully represented a physicians practice group in connection with its application for a Certificate of Need over the opposition of various existing providers.
  • Successfully represented three physicians in connection with a multimillion-dollar dispute over equity interests in a radiation oncology company.
  • Successfully represented a national behavioral health company in obtaining a Certificate of Need and defending on appeal a unique senior psychiatric program to be operated as a hospital within a hospital.
  • Successfully represented an Oregon community hospital in obtaining a pre-litigation settlement of managed care claims in excess of $1 million against a publicly traded health insurer.
  • Obtained a multimillion-dollar settlement in an arbitration proceeding brought by a Chicago not-for-profit health system against a publicly traded managed care company.
  • Successfully represented a large not-for-profit healthcare system in defending on appeal a Certificate of Need to develop a radiation therapy service.
  • Obtained dismissal with prejudice of a Medicare Secondary Payor lawsuit brought by a whistleblower in Arkansas Federal District Court.
  • Successfully represented the founding shareholder in a radiation oncology practice in a dispute in Georgia over the value of a multimillion-dollar equity interest.
  • Obtained a favorable settlement for the pharmacy operations of a publicly traded company for investigation of billing practices in Georgia.
  • Represented pharmaceutical company in complex internal investigation relating to government allegations of off-label marketing, Anti-Kickback violations and potential manipulation of the AWP.
  • Represented several clients in EMTALA investigations and appeals.
  • Represented clients in federal investigation of Medicare billing compliance issues.
  • Represented clients in Qui Tam actions involving physician and hospital regulatory compliance issues.
  • Representing clients in regulatory audits and billing compliance reviews on state and federal levels.

Key Services:

  • Alternative dispute resolution proceedings such as arbitration and mediation
  • Anti-Kickback statute & false claims act
  • Certificate of Need hearings and appeals
  • Class actions
  • Government civil proceedings, including whistleblower suits brought under the Federal False Claims Act
  • Internal Compliance Investigations
  • Licensure disputes and proceedings
  • Licensure investigations
  • Managed care network disputes
  • Management or services contract disputes
  • Medical staff and credentialing
  • Medicare & Medicaid audits & appeals
  • Stark II & physician self-referral laws

Medical Devices

Meet the Team »

Morris, Manning & Martin’s Medical Device Practice enables successful development of new medical device and life science technologies by providing legal and business guidance on formation, financing and operation of leading medical device companies.

Client Focus

The Medical Device Practice of Morris, Manning & Martin has built its reputation by assisting medical device entrepreneurs grow their businesses. We have consistently focused on representing companies that are developing and commercializing new technologies and engaged in fundamental scientific research. From our inception over 30 years ago, we have grown into one of the leading law firms in the Southeast and, in the words of the Atlanta Business Chronicle, are “generally regarded as having the city’s top technology group.” We understand the promise of medical device and life sciences technology, and we bring the full scope of our expertise to help our clients succeed.

Legal Leaders

From emerging companies to large public enterprises, Morris, Manning & Martin has become a leader in technology related venture capital deals, M&A transactions and IPOs for medical device companies. We have also developed leading practices in the intellectual property and regulatory areas related to the medical device industry. As such, our lawyers have the industry experience and business acumen to work with companies in all stages of development, from idea generation and initial patent filings, to clinical trials and venture financings, through to an M&A transaction or an IPO and beyond. We maintain extensive ties with venture capital firms and other investors who are active in the medical device field. We were leaders in the formation and operation of the Southeastern Medical Device Association (SEMDA), a networking community that helps inventors and entrepreneurs locate sources of financing, navigate complex licensing and regulatory issues and grow their medical device businesses. Through SEMDA and other organizations, our Medical Device Practice has an extended reach into resources and contacts and has established crucial business relationships within the medical device community.

Raising Capital

Medical device and related life science companies need capital to grow. We have been recognized as the Southeast’s leading law firm in representing companies in venture capital transactions. In the recent past, we have acted as counsel in well over 200 venture capital transactions that have raised approximately $2 billion. Due to our active practice in this area, we have strong relationships with many venture capitalists throughout the country. We assist our clients in identifying funding sources, creating the appropriate investment structure and negotiating both the term sheet and final investment documents. More importantly, our experience helps our clients avoid strategic errors that may hinder further growth or complicate exit strategies. We understand that as our clients succeed, we succeed. Therefore, our philosophy is to add value, not expense.

As our clients grow, we assist them in raising capital in the public securities markets, where we have been ranked among the top firms in the nation in initial public offerings. In the recent past, our clients have raised approximately $6 billion from sales of equity in initial public offerings. As company counsel, we help our clients through every stage of the offering process, from identifying and selecting the underwriters to preparing the prospectus and closing the transaction.

For companies with an interest in debt financing, we are very active in the public and private debt markets. In addition to acting as counsel with respect to offerings of debt securities, such as senior subordinated notes and convertible subordinated notes, we are regularly involved in asset-based financings, acquisition financings, mezzanine financings, syndicated financings and sale/leaseback transactions.

Achieving Corporate Goals

Many of our clients engage in joint ventures or mergers and acquisitions as an integral part of their corporate strategies. Due to our reputation for providing creative, efficient and effective solutions to our clients’ business and legal challenges, we have one of the leading merger, acquisition and joint venture practice groups in the Southeast. In the recent past, we have acted as counsel in more than $15 billion of merger, acquisition and joint venture transactions. We represent companies at all stages of their growth. We are able to efficiently staff transactions from small private company acquisitions to multibillion-dollar public company acquisitions and joint ventures.

We have particular experience in complicated domestic and international licensing, distribution and joint venture transactions. These types of transactions often require expertise in many legal disciplines, such as tax, securities, intellectual property, litigation, employee benefits, environmental and real estate. To address the complexities of these transactions, we create multidisciplinary client teams that work together seamlessly and efficiently to complete the transactions.

Protecting and Managing Intellectual Property

Most of our clients create and depend upon intellectual property as their core asset. Our practice group that deals with protecting, developing, selling, licensing and granting rights in intellectual property is among the most prominent in the Southeast. Patent filings and transactions involving critical technologies require not only solid legal drafting and negotiation skills, but also comprehensive technical knowledge and business acumen. Patens and technology contracts are as diverse as the technologies they address, and the law governing patenting and licensing intellectual property evolves almost daily. Accordingly, we actively focus our practice on understanding and applying the most recent industry and legal developments for the benefit of our clients.

Regulatory Guidance

We provide guidance on key regulatory issues faced by a medical device concern. Clients count on our thorough understanding of HIPAA privacy and security rules to keep them in compliance with the evolving nuances of this recent law. Operational hurdles are surmounted, from FDA compliance issues through clinical trials to product approval. We also focus on reimbursement issues, fraud and abuse laws and product liability concerns, allowing our clients to keep their attention fixed on creating innovative medical products. Together with Morris, Manning & Martin’s Healthcare Regulatory lawyers, we provide the sound advice our clients need to successfully navigate the many laws and regulations imposed upon them, both in the U.S. and internationally.

Interdisciplinary Approach

Practicing a team approach to legal service, we work closely with other relevant practices, such as our Licensing, Intellectual Property and Healthcare Regulatory Practices, to assist medical device and related life science companies in all stages of their lifecycles. Our Medical Device lawyers also draw upon the experience of our corporate and technology practices, who have built their reputations on helping entrepreneurs grow their businesses and by representing companies that are developing and commercializing new technologies, particularly in scientific research. We advise and assist our Medical Device clients on matters involving equity and debt financings, mergers and acquisitions, intellectual property, technology licensing and protection, strategic joint ventures and general corporate governance. For a sound legal approach with sophisticated deal-making experience, Medical Device clients rely on Morris, Manning & Martin.

Representative Clients and Transactions

Morris, Manning & Martin’s Medical Device lawyers represent clients and organizations of all types across the medical device industry, including clients engaged in the development of products in the cardiovascular, orthopedic, endoscopic, bioinformatics, nanotechnology and related fields, as well as other biotechnology and healthcare companies, including therapeutics companies, clinical research organizations, pharmaceutical manufacturers, pharmaceutical distributors, healthcare IT companies and venture capital and private equity investors. Several recent representations include:

  • Representation of medical device company developing a product combining radiation therapy with MRI technology in a $25M venture capital transaction.
  • Patent filings for medical device company involved in the research and development of products for use in minimally invasive cardiothoracic surgery.
  • Formation and initial licensing transaction for company developing innovative products for neuropsychological assessments.
  • Representation of several leading research universities in licensing and technology transfer transactions to commercialize new medical devices.
  • Representation of a leading clinical research organization based in the U.K. in its U.S. acquisitions.
  • Representation of specialty pharmaceutical company in it initial Series A financing.
  • Representation of venture capital fund in its Series A investment in a leading provider of endoscopy products.
  • Representation of a technology-based, healthcare cost containment company in its $25M acquisition of a competing provider and several PPO networks and in its $35M senior secured credit facility.
  • Representation of a development stage company involved in the research and development of bifocal and progressive contact lenses for treatment of presbyopia in its Series B financing.

Key Services:

  • Corporate
  • Venture capital
  • Regulatory and compliance
  • Intellectual property
  • Licensing & distribution
  • Mergers & acquisitions
  • Employment
  • Securities
  • Product Liability
  • Public offerings
  • Privacy and security
  • Joint ventures/Strategic alliances