Licensing and credentialing
Healthcare Licensing and Credentialing Attorney
A healthcare licensing and credentialing attorney helps prepare the license applications and payer enrollments your practice needs to open and get paid in California, Illinois, and Tennessee.
- 20+Years in-houseInside healthcare and life sciences companies
- 3State barsLicensed in California, Illinois, and Tennessee
- C-suiteFormer rolesChief Legal, Chief Compliance, and Chief Privacy Officer
- CIPP/USPrivacy credentialCertified Information Privacy Professional/United States
Your licenses and payer enrollments decide whether your practice can open and bill. We help prepare the applications and keep track of renewal dates. The rules differ from state to state, and Craig Clesson is licensed in California, Illinois, and Tennessee, so one counsel can help with your filings in all three.
State-by-state differences
Scope-of-practice and supervision rules for nurse practitioners and other licensed healthcare professionals show how far apart states can sit. California, Illinois, and Tennessee each draw the line in a different place on independent practice and physician supervision. This area of law continues to evolve.
We help review these rules before you set staffing and supervision for a new site.
Payer enrollment and credentialing
Your enrollment with Medicare, Medicaid, and commercial payers decides whether you get paid for the services you provide.
We help prepare each application and track it until the payer decides.
Applications we prepare
Depending on your services, your list can include applications for these.
- Facility and clinic licenses
- Clinical Laboratory Improvement Amendments (CLIA) certificates for in-office lab testing
- Drug Enforcement Administration (DEA) registration in each state where you prescribe or dispense controlled substances
- State controlled substance registrations
- Medicare and Medicaid enrollment
- Commercial payer credentialing
- Professional licenses for clinicians
- Professional corporation registrations, where the state requires them
Contact us for a free consultation.
If you are a healthcare professional business owner or a healthcare business that is facing a tough question, maybe we can help. Contact us for a free consultation.
Contact us →Changes that require notice
Medicare and other payers require you to report changes such as a change of ownership, an adverse legal action, or a new, moved, or closed practice location within set deadlines. A missed report can put your billing privileges at risk.
Tell us about a change before it takes effect, and we can help file the updates with Medicare and your other payers.
Opening a new location
Whether a new site needs a clinic or facility license, or the state's permission to open, depends on the state and the type of facility. California, Illinois, and Tennessee each draw the line in a different place, and these rules change as the laws and enforcement in this area evolve.
We help plan the applications for each new site alongside your lease and build-out schedule.
A renewal calendar you can see
We help you list every license, registration, and enrollment with its renewal date and the person responsible for it.
The calendar includes federal enrollments such as Medicare revalidation alongside your state licenses and registrations, each on its own renewal cycle.