About
Our law firm specialises in providing legal services to medical institutions cooperating with the NFZ legal service of NFZ contracts we have extensive experience in the management of NFZ contracts, as evidenced by more than 70 lawsuits we have conducted concerning overtime and the payment of so-called 19s. We have assisted more than 200 medical entities, and our success in overcontract litigation has reached the record amount of PLN 18 million.
Complex legal service of NFZ contracts for medical institutions
- We assist in obtaining a contract with the NFZ, offering legal and business advice. We support in preparing the application and conducting discussions with the NFZ.
- We offer development and analysis of tender selection criteria and registration requirements based on an analysis of the medical entity’s register book.
- We support clients in tendering competitions to the NFZ, preparing appeals and representing clients before the provincial administrative court.
Obtaining a contract with the NFZ
- Legal and business consulting in obtaining a contract with the NFZ, taking into account the health needs map and the voivodship and national transformation plans;
- preparation of an application to the NFZ for the announcement of proceedings to conclude a contract for health care services;
- participation in discussions with the voivodship branch of NFZ;
- development of detailed tender selection criteria (ranking criteria);
- elaboration on registration requirements after analysis of the register book of the treatment entity.
Legal services for NFZ contracts – Signing a contract with the NFZ
- Development of the minimum requirements of the Medical Entity for the performance of services that are the subject of the contract;
- Development of detailed criteria for the selection of tenders (ranking criteria);
- Development of registration requirements based on an analysis of the medical institution’s register – Advising on the preparation of the competition offer to the NHF;
- Preparation of letters to the NFZ during the tender proceedings;
- Preparation of appeals at the stage of the tender procedure (protest, appeal to the voivodship administrative court);
- Legal support regarding inquiries related to the tender.
Implementation and settlement of the contract with the NFZ
- preparation of applications for change of place of provision of services, for settlement of overpayments, for financial transfers, for notification of interruption of services and other documents required by the client;
- legal support in issues related to the proper implementation of the contract with the Fund;
- Information on changes in the implementation of contracts with the Fund and current legal developments;
- Preparation of legal and business concepts in view of systemic changes in the health care system affecting the implementation of contracts with the NFZ
Audit of a Medical Entity – Examination of DD in M&A Transactions
- Conducting a formal and legal audit of the medical entity in the areas of:
- regulatory
- litigation
- execution of contracts with the NFZ
- employee
- organizational
- concerning aspects of the client’s functioning as a commercial company and a medical entity on the basis of information and documents obtained from the client;
- preparation of a report on the conducted audit indicating possible irregularities or deficiencies;
- legal support in correcting the irregularities or deficiencies identified in the report;
- staff training in relation to the irregularities identified as a result of the audit;
- preparation of a final audit report summarising the corrective measures implemented.
NFZ inspection
- Legal advice in the course of the Fund’s inspection;
- Preparation of letters in the course of the inspection proceedings, including appeal letters;
- Analysis of the inspection documents, substantive support and recommendations for further actions of the medical institution in connection with the inspection;
- Representation of the client in legal proceedings against the NFZ in connection with the inspection.
Courses for management and medical staff on
- implementation of quality in a medical entity;
- Keeping medical records, including the principles of keeping them for the purposes of NFZ inspections;
- legal and system changes in the implementation of contracts with the NFZ;
- principles of respecting patient rights;
- principles of billing and reporting of services to the Fund in the most profitable aspect for the treatment unit.
Funding acquisition
- submitting a funding application on behalf of the healthcare entity;
- Obtaining a co-implementer;
- finalising the funding agreement.
Sprawdź pozostałe usługi
Our services are adapted to the specifics of working with the NFZ ensuring that all aspects of medical contracts are managed professionally and efficiently. Contact us to learn more about how we can support your medical facility in its interactions with the NFZ.
Providing comprehensive legal services for NFZ contracts
Cooperation with the NFZ involves a number of legal requirements that must be fulfilled by medical service providers. Our law firm provides full support in the legal service of NFZ contracts, assisting clients in the preparation, negotiation and implementation of contracts with the Fund. Thanks to our extensive experience, you can minimise the risks associated with the rejection of an offer in the tender proceedure or improper implementation of the contract. NFZ contracts are a particularly complex area, so the law firm guarantees full analysis and advice on the interpretation of contract provisions and their compliance with applicable regulations. Each provision in the contract can be of key importance both in ongoing operations and in the event of potential disputes. Legal service of NFZ contracts allows to avoid unfavorable consequences in cooperation with the Fund.
Professional legal advice of the NFZ
Understanding and effectively interpreting the legal provisions of NFZ is the basis for successful cooperation with this institution. The firm specialises in providing legal advice on the NFZ, offering substantive support in the most important aspects of medical activity. It advises both on issues related to the ongoing operation of the entity and on more complex legal problems.
Lawyers have extensive experience in NFZ regulations and in dealing with issues of regulatory interpretation. Whether it’s health care financing guidelines or billing issues, the firm provides meaningful solutions. Effective legal advice from the NFZ avoids legal and administrative problems, resulting in more efficient management of the medical institution.
Litigation with the NFZ – support throughout the stages
Sometimes cooperation with the NFZ leads to disputes that must be resolved in court. In such situations, it is important to have an experienced team of lawyers to provide support from the moment a dispute arises until it is resolved. The firm offers comprehensive legal support in NFZ-related litigation, representing clients at every stage of the proceedings – from pre-trial negotiations, through trial, to any appeals and final resolution of the dispute.
Representation in cases against the NFZ requires in-depth knowledge of the regulations and procedures prevalent in this institution. Our experience in handling cases of varying degrees of complexity, both in terms of contracts and claims for unfulfilled services, helps to resolve problems in the shortest possible time. The individual approach is based on a thorough analysis of the case and the selection of the best litigation strategy to effectively defend the client’s interests. A lawsuit with the NFZ is often a last resort, but with the right support you can get through it without further problems.
Analysis of medical records in the context of NFZ contracts
Medical records play a crucial role in any NFZ related procedure. They are an essential element in verifying the medical services provided and their compliance with the NFZ contract. Therefore, the law firm offers the service of in-depth analysis of medical records, which allows you to detect possible irregularities and avoid sanctions from the Fund.
The analysis of medical records carried out includes a detailed verification of the accuracy of the records kept, their compliance with the contract and their correctness in the context of settlements with the Fund. This expertise makes it possible to identify any risks associated with medical records and to propose specific corrective actions. If necessary, support is also provided in the preparation of appeals or investigations conducted by the NFZ.
NFZ – dispute resolution
The law firm is an experienced partner in dispute resolution. Whether the dispute relates to incorrectly invoiced medical services or problems arising from misunderstandings during the implementation of the contract, the experienced law firm is ready to provide effective legal support. It works on the basis of a thorough knowledge of the laws and regulations, of the NFZ which allows it to propose solutions that protect the interests of clients.
Disputes with the NHF can take various forms – ranging from problems of contract interpretation to issues relating to inspections and billing. The law firm offers comprehensive advice in this regard, as well as support in negotiations aimed at an amicable resolution of the dispute. However, if litigation is necessary, the firm will represent the client fully and act at every stage of the proceedings in order to best protect the client’s interests.
