Structure and clinical control
Professional-entity and management-company relationships, governance, management services agreements (MSAs) and control over clinical decisions. The Medical Board of California's corporate-practice guidance identifies decisions that must remain with licensed physicians. Medical Board guidance.
Economics and exit rights
Management fees, cost allocation, capital commitments, reserved decisions, records access and termination assistance. We examine the full set of agreements, including ownership-transition arrangements.
Transactions and notice
We assess whether an acquisition, investment or management arrangement triggers a Material Change Notice to the Office of Health Care Affordability (OHCA). Its current framework includes management services organizations; the actual entities and transaction determine the filing analysis. OHCA notice portal and current requirements.
For counsel to the clinical group, see Medical Practices & Physician Groups.
Service agreements
Scope of coding and billing work, collection authority, reporting, error correction, audit cooperation and allocation of responsibility for submitted information.
Information access
HIPAA business-associate agreements (BAAs), subcontractor terms, access controls and return or destruction of data when the work ends. A billing service handling protected health information on a covered entity's behalf can be a business associate. HHS business-associate guidance.
Payment and disputes
Fees, disputed invoices, denied-claim responsibilities, transition support and contested performance. We distinguish your contract with the practice from the practice's relationships with payers.
Placement terms
Facility staffing contracts, clinician employment or contractor terms, credential-verification responsibilities, cancellation rights and coverage obligations.
Responsibility on the ground
Scheduling, timekeeping, supervision, workplace complaints and access to records. We clarify which entity carries each responsibility and examine the legal implications of the actual arrangement.
Professional permissions
The placed professional's license and scope remain separate from the staffing contract. We identify the relevant board and any service-specific business permissions instead of treating every staffing company as a licensed care facility.
Yes. We start with the entities, ownership, service agreement and how decisions are actually made. The documents and day-to-day operation both matter to the review.
No. Management, billing, staffing and direct care raise different questions. We assess the activities, people, information and transaction involved, then identify the legal work relevant to your business.
