List of Legal Services


The law firm of Horty, Springer & Mattern, P.C., founded in 1971, devotes its practice exclusively to health care law. We work with hospitals, health systems, other health care providers, HMOs and managed care organizations all over the country, consulting with physician leaders, health system executives, boards and their legal counsel. We have arrangements with many of our clients in which we provide a defined package of legal services for a fixed monthly fee.

We provide services in the following areas:

Corporate Matters

  • Strategic counseling for governing boards
  • Regulatory compliance audits and policies
  • Mergers, acquisitions and affiliations
  • Joint venture arrangements for clinical and nonclinical services
  • Corporate compliance policies
  • Corporate bylaws
  • Corporate restructuring

Contract analysis, preparation and/or negotiation of the following:

  • Hospital-based physician contracts
  • Physician recruitment agreements
  • Physician practice acquisition contracts
  • Physician employment contracts
  • Third-party payor and managed care contracts
  • CEO and Vice President contracts

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Medical Staff

  • Hospital medical staff bylaws, rules and regulations
  • Hospital medical staff investigations and hearings
  • Credentialling policies and procedures
  • Fair hearing plans
  • Medical staff development plans
  • Medical staff restructuring
  • Consultations regarding all facets of hospital-medical staff relationships


  • Health care antitrust matters
  • Hospital tax exemption defense
  • Defense of medical staff hearing decisions against claims of antitrust, breach of contract, Americans with Disabilities Act, and other employment discrimination and civil rights violations
  • Physician contract litigation

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Fraud and Abuse

  • Consultations regarding fraud and abuse implications of transactions
  • False claims defense and settlements
  • Anti-kickback defense and settlements

Tax Exemption

  • Consultations regarding tax exemption implications of transactions
  • Preparation of tax exemption applications for hospitals, HMOs and related companies

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Managed Care

  • Credentialing policies and procedures
  • Provider contracts
  • Utilization management/Medical records policies
  • HMO development and license applications
  • Payor and subscription contracts
  • Strategic counseling on provider-managed care relationships
  • Integrated delivery system formation and development

Other consultations, counseling and representation regarding the following matters:

  • C.O.N.
  • Right-to-die issues
  • Patient care policies
  • Accreditation issues
  • Residency training program accreditation and other resident issues
  • Regulatory compliance

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