Ethan Domsten

/My focus

Regulatory Compliance

I advise clients on federal and state healthcare regulations, including the creation of compliance programs and the resolution of instances of identified noncompliance. I’m experienced in evaluating risks under the False Claims Act, appealing alleged overpayments, defending against government investigations concerning Medicare and Medicaid billing, and addressing self-disclosure requirements under the Stark Law and Anti-Kickback Statute. I have counseled clients through internal and government investigations and the resolution of overpayment issues through negotiated settlements.

Healthcare Transactions

I work with hospitals, physician groups, labs, and other healthcare providers in a variety of transactions, such as mergers, acquisitions and joint ventures. My practice includes representing entities in the regulatory aspects of healthcare transactions, including corporate structuring, diligence, licensure, reimbursement, and credentialing.

Not-For-Profit

I work with many not-for-profit healthcare organizations to ensure their governance and operations comply with legal requirements as well as best practices. With respect to tax-exempt hospitals, I provide assistance regarding Internal Revenue Service (IRS) and state law requirements governing financial assistance and community benefit activities.

/Looking ahead

The role of data analytics in the healthcare industry will continue to expand, allowing providers to fundamentally alter how healthcare is delivered and paid for in this country. At the same time, providers must navigate increased oversight as government auditors leverage new technology to identify and target potential fraud and non-compliance.