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Harsh P. Parikh



Harsh works with managed care organizations, hospital systems, and other providers on a wide range of regulatory, reimbursement, and transactional matters. His practice encompasses federal and California fraud and abuse compliance, licenses and permits, Medicare and Medicaid (Medi-Cal) participation and reimbursement, False Claims Act internal and government investigations, and enforcement actions. Harsh also advises clients on health information technology, bioethics, privacy, security compliance, digital health, and telemedicine matters.

What do you focus on?

Health Care Transactions

I assist clients in complex transactions involving sales and acquisitions of clinics, pharmacies, and hospitals. With deep experience handling regulatory issues implicated in health care transactions, I often serve as the regulatory counsel on a range of transactions involving state and federal agencies, including the Center for Medicare and Medicaid (CMS), California Department of Health Care Services (DHCS), California Department of Public Health (CDPH), the Medical Board of California (MBC), and the California State Board of Pharmacy. Additionally, I provide critical analysis and health care compliance advice on a variety of business arrangements with health plans, physicians, mental health providers, hospitals, and drug and device manufacturers.

Regulatory Compliance

I regularly advise clients on compliance with federal and California health care laws, with an emphasis on assessing False Claims Act risk and resolving self-disclosure obligations under the Stark Law and Anti-Kickback Statute. I have successfully defended clients seeking resolution of government health care program overpayment issues through negotiated settlements. For example, I recently coordinated a major health system’s internal investigation of its billing practices and its voluntary self-disclosure to the Department of Health and Human Services, Office of the Inspector General. I’ve also led multiple compliance investigations and provider self-disclosures to federal and state agencies of unlicensed staff, cost report errors, EMTALA violations, and HIPAA security breaches.

Managed Care Reimbursement

I’ve worked on numerous Medicare and Medicaid reimbursement/audit matters, including representing clients in administrative hearings.

What do you see on the horizon?

As health policy dominates the current political discourse, federal health care reform seems inevitable. Rising health care costs hampered the Affordable Care Act’s vision of universal coverage. The key will be whether lawmakers can balance the need to bend the cost curve without sacrificing innovation in medicine. Even without legislative action, government payors will move full speed ahead with shifting Medicare and Medi-Cal payment models. The need to achieve greater economies of scale will drive continued consolidation in the industry for both payors and providers.

There are also significant opportunities for disruption in health care. Seamless aggregation of medical data and deep learning of medical literature by artificial intelligence (AI) promises to guide the future of patient care. Such advances in health care technology will present complex legal challenges for stakeholders.

Presentations

  • Presenter, “COVID-19 and the Mainstreaming of Telehealth,” LACBA Healthcare Law Section, Webinar, June 3, 2020
  • Presenter, “Telehealth Trends: Risks, Rewards and Reimbursement,” Health Care Compliance Association, Webinar, March 23, 2020
  • Presenter, “Proposed Changes to Stark Law and Anti-Kickback Statute Regulations – What Your Organization Needs to Know About These and Other New HHS Initiatives,” Health Care Compliance Association (HCCA) Webinar, February 18, 2020.
  • Presenter, “Stark Law, AKS, and CMP Law Changes: Expanded AKS Safe Harbors, Narrowing Stark Law—Proposed Stark and AKS Protections to Facilitate Value-Based Arrangements and Care Coordination,” Strafford Webinar, February 4, 2020.
  • Telehealth Trends: Risks, Rewards and Reimbursement,” Nixon Peabody Webinar, November 14, 2019
  • “Health Care Reimbursement 101: Medicare and Medi-Cal,” Orange County Bar Association Health Care Law Section Meeting, Newport Beach, CA (August 8, 2019)
  • “Disaster Preparedness and Response — What Your Clients Want You to Know,” California Society for Healthcare Attorneys (CSHA) 2018 Fall Seminar, Los Angeles, CA (November 9, 2018).
  • “What Medical Staff Members Should Know About EMTALA,” [Confidential] Southern California Hospital Medical Staff (September 24, 2018).
  • “Practice Essentials for Aspiring and Young Physicians,” American Association of Physicians of Indian Origin (AAPI) Winter Medical Conference, Las Vegas, NV (February 12, 2017, February 10, 2018).
  • “Getting Heard: Working with the Updated Medicare Administrative Review Process,” American Bar Association, Health Law Section, On-Demand CLE Webinar (November 30, 2017).
  • “Health Reform, Medicare, and Medicaid Under the Trump Administration: What Should We Expect?” South Asian Bar Association 14th Annual Convention, Washington D.C. (July 13–16, 2017).
  • “Medicare Preemption in Managed Care Litigation,” California Association of Health Plan Legal and Regulatory Affairs Meeting, San Francisco, CA (May 17, 2017)

Publications

  • “FAQs on Section 1135 Waivers: What Health Care Providers Should Know,” American Health Lawyers Association Publication, March 2020.
  • “Proposed Rules Aim to Transform Key Federal Laws Restricting Health Care Agreements,” NH Bar News (January 15, 2020)
  • “Unpacking Republican Proposals to Roll Back Obamacare,” Los Angeles Daily Journal (December 12, 2016).
  • “Republican Plans to Reform the ACA,” San Francisco Daily Journal (December 12, 2016).
  • “CMS Releases Final Rules on MACRA Quality Payment Program Implementation for 2017–Onward,” Health Law In The News (October 19, 2016).
  • “9th Circ. Closes More Doors On ACA Challenges,” Law360 (October 10, 2014).

Proposed rules aim to transform key federal laws restricting health care arrangements

New Hampshire Bar News | January 15, 2020

Manchester Complex Commercial Disputes associate Kierstan Schultz and Los Angeles Health Care associate Harsh Parikh co-wrote this contributed article analyzing two new rules proposed by the Department of Health and Human Services aimed at addressing perceived barriers to care coordination and value-based care in the health industry.

Contact

Harsh P. Parikh

Associate

Los Angeles

Phone: 213-629-6108


Fax: 213-358-2889

University of California, Los Angeles School of Law, J.D.

University of California, Los Angeles, B.A.

California

  • Received a 2021 Best Lawyers: Ones to Watch recognition for Health Care Law.
  • Recognized as a Southern California Super Lawyers Rising Star for 2018–2020
  • Received the Emerging Lawyers in Healthcare Award from the American Bar Association in 2019
  • Women in Health Administration of Southern California
  • South Asian Bar Association of Southern California, Steering Committee; President (2017–2018)
  • Los Angeles County Bar Association (LACBA), Healthcare Law Section: Executive Committee Member
  • LACBA and Los Angeles County Medical Association Committee on Biomedical Ethics
  • American Bar Association, Health Law Section: Vice Chair of Web & Technology
  • Inner City Law Center, Pro Bono Council
  • American Health Lawyers Association, Member
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