Success in today’s health care world means addressing increasingly complex issues amid rapid change. Making the right decisions in this environment requires strategic counsel from attorneys who not only know the laws, but also have a deep understanding of the health care industry.

Our attorneys practice in the following core areas. They can provide assistance and representation to hospitals and their boards, management, and medical staff leaders.


      • Medical Staff Bylaws
      • System Medical Staff Bylaws
      • Medical Staff Credentialing Forms
      • Medical Staff Rules and Regulations
      • Peer Review Policies and Forms
      • Medical Staff Professionalism Policies
      • Practitioner Health Policies
      • Policies on Confidentiality of Credentials/Peer Review Files
      • Information Sharing Agreements
      • Delegated Credentialing
      • Policies Concerns
      • Low or No Volume Practitioners Policies
      • Policies on Re-Entry to Practice
      • Responding to Reference Requests About Practitioners
      • Allied Health Professional Policies
      • Corporate Bylaws
      • Policies on Exclusive Contractual or Employment Relationships
      • Policies to Address Practitioners With Competing Economic Issues
      • Conflict of Interest Policies
      • Other Policies and Procedures


      • Credentialing and peer review
      • Delineation of clinical privileges, as well as matters involving scopes of practice and related supervision requirements and conditions on practice for advanced practice professionals and dependent practitioners
      • Audits of credentialing and peer review processes
      • Development of formal Performance Improvement Plans
      • Medical Staff investigations
      • Medical Staff hearings and appeals
      • Exclusive contracting and closing of clinical departments
      • National Practitioner Data Bank reporting
      • Hearing Officer/Presiding Officer service


      • Strategic advice concerning relationships between board, management, and medical staff
      • Mergers, acquisitions, and affiliation agreements
      • Executive and Physician Compensation Policies
      • Internal investigations
      • Executive contracts
      • Management contracts
      • Joint ventures


      • Anti-kickback, Stark, and other fraud and abuse issues
      • Tax exemption requirements
      • EMTALA
      • HIPAA
      • Medicare and Medicaid billing and coding compliance
      • Institutional and professional licensing
      • Compliance investigations
      • Self-disclosures to CMS and the OIG


      • Physician employment contracts
      • Personal service contracts
      • Hospital-based physician contracts
      • Physician recruitment agreements
      • Physician practice acquisition contracts
      • On-call coverage contracts
      • Medical director contracts


      • Disputes arising from credentialing or professional review actions
      • Physician contract disputes
      • Healthcare antitrust suits
      • Hospital tax exemption challenges
      • Civil litigation relating to Anti-kickback/Stark/False Claims Act allegations
      • Negligent credentialing lawsuits
      • Administrative hearings and appeals

We provide legal and consulting services on an hourly, fixed-fee project, and monthly fixed-fee contract bases, depending on the specific arrangements made with the client. 


HortySpringer attempts to provide as many projects as we can on a fixed-fee basis. This approach is normally utilized for larger, more complex projects when document drafting is involved, such as Medical Staff Bylaws or PPE/peer review revision projects. Fixed-fee projects are discussed with the client in advance and confirmed in writing prior to starting work.


Monthly fixed-fee contracts are not limited to a single project but, rather, pursuant to which we provide all services within a defined practice area during a specified period of time at a fixed monthly fee that is established in advance. Monthly fixed-fee contracts are well-received by clients that wish to have more access to document drafting and day-to-day advice and support, within a controlled cost structure. To discuss how a fixed fee arrangement might benefit your hospital, please contact us.


When a fixed project fee is not possible, we utilize the traditional hourly and per diem billing approach.

Disclaimer – Please Note:

Contacting HortySpringer by email, or phone does not establish an attorney-client relationship. Until a relationship is formally established and acknowledged in writing by both parties through an engagement letter or agreement, an attorney-client relationship has not been established and HortySpringer has no liability.

This website and its contents may be considered attorney advertising under the rules of certain jurisdictions. Prior results do not guarantee a similar outcome.

The information provided on this website is for informational purposes only and should not be construed as legal advice on any matter.

Information provided on this website does not constitute a legally binding agreement of any kind.  No recipients of content from this site, clients or otherwise, should act or refrain from acting on the basis of any content included in the website without seeking the appropriate legal or other professional advice on the particular facts and circumstances at issue from an attorney licensed in the recipient’s state.

The attorneys in our firm are only licensed to practice law in Pennsylvania. When we provide services outside of Pennsylvania, we work in association with in-house or other attorneys licensed to practice in other states as required by applicable Rules of Professional Conduct.

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