Jerry Roscoe, Esq. has mediated and arbitrated hundreds of matters where the parties include hospitals, patients, providers, payors, health plans, fiscal intermediaries, and government agencies including the United States Department of Health and Human Services, the Department of Justice, the Veteran’s Administration, and state and federal agencies involved in the administration and enforcement of Medicare and Medicaid.
Mr. Roscoe’s cases cover all phases of health care delivery, including medical negligence, mergers and acquisitions, health care fraud, pharmaceutical regulation, employment contracts, credentialing, privileges and placement.
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- Administration & Insurance
- Coding procedures, computer data production and analysis, compliance with federal reimbursement rules and procedure
- Denial of privileges, peer review processes and determinations, termination of physician agreements, reporting to licensing authorities
- Commercial Disputes
- Hospital/physician contracts
- Joint venture between specialty groups, employment contracts between physicians groups and other physicians, nurses, and other staff; office procedures and protocols
- Mergers, acquisitions, and other transactional disputes involving hospitals, hospital systems, medical practices, and individual physicians
- Resident matching program disputes
- Review of credentials and criminal history for professionals and staff; inadequate supervision of staff, inadequate supervision and monitoring of patients
- All aspects of health care related employment claims including Title VII, sexual harassment, wrongful discharge, negligent hiring and supervision, failure to hire, failure to follow administrative procedures, retaliation, FMLA, ADA, ADEA, and Equal Pay. Mr. Roscoe also administers, mediates and arbitrates streams of cases pursuant to certified and non-certified employment class action complaints, with specific experience in health care settings.
- Fraud & Abuse
- Medicaid and Medicare fraud and abuse ranging from civil and criminal allegations related to reimbursement to financing of acquisitions and facilities
- Patient abuse and sexual abuse: sexual relations between care providers and between care providers and patients; sexual relations and abuse of long term residents
- Quality of care issues raised by patients, staff, peers and institutions; failure to diagnose, failure to treat, failure to monitor, failure to refer, and failure to follow-up
- Qui tam actions
- Violation of patients’ rights
- Medical Negligence
- Allegations of medical negligence in all aspects of medical care delivery ranging from allegations of negligence at birth to nursing home care
- Pharmaceutical disputes including AWP
- Cardiology and echocardiography, coronary revascularization including indications for placement of and complications arising from stents, intraortic catheterization, and balloon angioplasty
- Lack of informed consent, intra-operative decisions, applicable standard(s) of care, appropriate procedures for emergency rooms, admission, discharge and post-discharge care
- Negligent pre- and post-natal care: diagnosis and treatment related to prenatal care including nutritional deficiencies, diabetes, injuries in utero, and preeclampsia; intra-operative injuries and injuries sustained during delivery
- Psychiatric patient diagnosis, care, monitoring, transfer, violence, suicides, and security; psychiatric institution staff issues, including allegations of molestation, physical abuse, and neglect of patients or long term care residents
- Radiology based diagnostic and therapeutic technologies, including radiographic interpretation, plain tomography, CT, MRI, nuclear medicine, failures to prescribe and errors in interpretation
- Vaccine related injuries: post vaccine complications and vaccine related injuries in children and adults including hepatitis, neurological complications such as encephalomyelitis