| Behavioral
Health Care
Gjerset
& Lorenz lawyers have worked in the behavioral health
field since the beginning of their careers. Mr. Gjerset
started his career prosecuting cases for the Texas Attorney
General against psychiatric hospitals for violations
of state anti-kickback laws and represented Texas in
national settlements with various psychiatric hospital
systems. Since then, Gjerset & Lorenz attorneys
have continuously represented acute care facilities
with psychiatric units as well as psychiatric and rehabilitative
hospitals in almost every facet of their business including
sales and acquisitions, regulatory compliance, licensure,
administrative actions and the development of operational
policies and procedures. Our clients have included lock
down facilities for adjudicated minors with psychological
diagnoses, residential care facilities for patients
with organic brain injuries, partial programs for youth
and adults, multiple personality disorder units, and
other non-traditional behavioral providers such as wilderness
camps for troubled youth and eating disorder clinics.
We
have defended our clients from a wide range of regulatory
sanctions relating to abuse and neglect actions by state
and federal governmental agencies and lawsuits by Advocacy
Incorporated and private litigants. Aside from our defense
practice, we advise our behavioral health care clients
on day to day regulatory compliance issues, risk management,
negotiating payor agreements, and business transactions.
Over the years our firm has developed working relationships
with the heads of the federal and state agencies that
regulate our clients, and has developed a strong administrative
practice defending our clients from adverse licensure
actions and developing plans of correction to respond
to statements of deficiencies in a way that limits additional
administrative efforts to sanction our clients.
Representative
Gjerset & Lorenz experience includes:
-
Successfully defended numerous psychiatric hospitals
from exclusion from the Medicare program, licensure
revocation, and civil penalties following several
suicides and numerous abuse and neglect allegations;
-
Successfully defended the CEO of a children’s
psychiatric hospital for adjudicated youth against
allegations of neglect following several staff-patient
incidents;
-
Worked with state and federal governmental agencies
to obtain certification for one of the largest school
districts in Texas to become a Psychiatric Provider;
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Successfully defended compulsive gambling treatment
centers from adverse audit finding that they received
excess government funding;
-
Led the divestiture and closure teams of psychiatric
hospitals and psychiatric hospital systems including
due diligence, development of the transactional documents
and obtaining regulatory approval;
-
Organized over 50 substance abuse treatment facilities
and residential treatment facilities into an association
and negotiated contracts for these providers with
the State and commercial payors;
-
Successfully defended over 25 substance abuse treatment
facilities against allegations by a state regulatory
agency that these facilities received approximately
$30 million in overpayments due to the inclusion of
unallowable costs in their cost reports. In the aggregate,
our clients paid the State $35,000 to resolve the
disputes, and the state agency that made the allegations
was disbanded.
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