Practice Areas

At Hoyes & Muellenberg LLP, we provide comprehensive legal counsel exclusively to hospitals, medical staffs, healthcare systems, and physician organizations on the complex legal, governance, and regulatory issues that shape today's healthcare environment. From medical staff governance and credentialing to peer review, compliance, dispute resolution, and strategic advising, our attorneys deliver practical, responsive guidance tailored to each client's unique needs. We partner with healthcare leaders to develop sound governance structures, navigate sensitive legal matters, strengthen regulatory compliance, and support informed decision-making that advances organizational integrity and quality patient care.

MEDICAL STAFF GOVERNANCE & BYLAWS

Drafting, revising, and interpreting medical staff bylaws, rules and regulations, policies, and other governance documents
Medical staff organization and restructuring for hospitals, systems, medical groups, and foundations
Medical staff committee structure and governance support
Unification of Medical Staffs and system-wide integration projects for credentialing and peer review
Development of credentialing, hearing plans, and dispute resolution processes Governing board and Medical Executive Committee counsel and advice
Development of codes of conduct and practitioner wellness and well-being programs and policies
Creation of confidentiality, peer review protection, and immunity frameworks
Chiefs’ councils, regional coordination structures, and system governance models

CREDENTIALING, PRIVILEGING & PRACTITIONER COMPETENCE

Physician and allied health professional credentialing and recredentialing
Advanced practice provider privileging, scope of practice, and supervision issues
Telemedicine credentialing protocols
Practitioner competency evaluations and fitness-for-duty matters
Late-career practitioner policies and assessments
Practitioner health, wellness, and impairment matters
Call coverage policies and coverage disputes

PEER REVIEW & CORRECTIVE ACTION

Routine and focused peer review matters, including OPPE and FPPE
Professional conduct and disruptive behavior investigations
Competence investigations and corrective action proceedings
External peer review coordination
Fair hearings, governing board appellate proceedings, and writ proceedings
National Practitioner Data Bank reporting and state licensing board reporting

REGULATORY & COMPLIANCE COUNSELING

Accreditation and regulatory compliance counseling
CMS Conditions of Participation compliance
EMTALA compliance and emergency transfer issues
State licensure and regulatory investigations
Responses to subpoenas and government agency requests
Healthcare privacy and confidentiality matters
Medical board and health oversight agency investigations

HOSPITAL & HEALTH SYSTEM REPRESENTATION

Medical staff integration within healthcare systems
Exclusive contracts and closed department issues
Board – Medical Staff disputes
Peer review body formation
Governance counseling for large physician organizations and foundations
Strategic guidance for governing boards and executive leadership

DISPUTE RESOLUTION

Representation of peer review bodies in fair hearings and appeals
Governance disputes
Joint Conference Committee facilitation
Mediation and Hearing Officer engagements

HOYES & MUELLENBERG LLP

Practice Areas