Provider Licensing, Certification & Accreditation

Sullivan, Stolier & Resor, APLC (SSR) assists clients with obtaining and maintaining appropriate licensure and certification by meeting the appropriate state or federal licensure requirements and/or conditions of participation. When necessary, SS&R intervenes with state licensure boards, CMS, fiscal intermediaries or carriers and/or other third party payors and regulators to expedite licensure and certification processes and resolve disputes that may jeopardize a client's license or certification.

SS&R also assists clients with JCAHO accreditations, hospital credentialing issues and DEA investigations and complaints.

Through the years, SS&R has gained particular expertise in assisting physician hearings before state boards of medical examiners affecting the physicians' professional rights.

 

 

The professional rights practice is administrative in nature with the goal being to maintain the client's unrestricted license to practice medicine in his or her applicable state and maintain certification to continue to participate in the various third party payors and governmental payor programs. The vast majority of state board of medical examiners allow for an informal discussion and/or negotiating period prior to the filing of an actual administrative complaint.

In this process it is crucial to work with each board's investigative officer which typically serves in prosecutorial capacity manner. Oftentimes it is in the physician/client's best interest to amicably resolve this matter via settlement with the investigative officer prior to the conducting of an administrative hearing before the panel of board of medical examiners. With regard to decertification and/or exclusion proceedings by governmental or commercial third party payors, these proceedings are typically controlled by the applicable individual policies of the commercial payor or the applicable Medicare and/or Medicaid regulations found in CFR Title 42.

Attorneys

Stephen M. Sullivan
Thuy P. Huynh
Jack M. Stolier
Vinson J. Knight
Adrienne L. Black James P. Kovata
Matthew K. Brown Aviva F. Rosenberg
Amanda C. Foster Michael R. Schulze
Brian D. Grubb  

 
 
 

New Orleans Office: 909 Poydras Street, Suite 2600, New Orleans, Louisiana 70112 | Phone: 504-561-1044 | Fax: 504-561-8606
Lafayette Office: 1042 Camellia Boulevard, Suite 2, Lafayette, Louisiana 70508
| Phone: 337-233-6210 | Fax: 337-233-6215
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