James R. Taylor
His representation includes: analyzing relationships among health care providers to determine compliance with fraud and abuse and antitrust laws; organizing horizontal and vertical health care ventures; providing guidance to providers on matters relating to internal investigation and reporting; and drafting a variety of contracts, including provider agreements, management contracts, joint venture documents and real estate agreements.
- Evaluating health care arrangements and billing practices to determine compliance with Medicare, Medicaid and AHCCCS rules and regulations;
- Structuring multi-state health care management organizations;
- Evaluating and drafting a variety of contracts, including provider agreements, management contracts, compensation arrangements and leases;
- Representing health care providers in licensing matters before the Arizona Medical Board, Board of Osteopathic Examiners, Board of Dental Examiners, Board of Nursing, Board of Chiropractic Examiners, and Board of Physical Therapy Examiners;
- Representing health care providers in administrative and reimbursement matters before Medicare, AHCCCS, insurance plans, and Medicare audit contractors;
- Structuring single- and multi-specialty provider networks and practice groups;
- Representing health care practices in general corporate matters, employment issues, business development and contractual disputes;
- Organizing multi-disciplinary clinics; and
- Representing health care businesses in connection with state licensing matters, including health care facility licensure and collection agency licensure.
- “The Best Lawyers in America,” Healthcare Law, since 2013
- AV Preeminent Peer Review Rating, Martindale-Hubbell listed
- State Bar of Arizona
- American Health Lawyers Association
- Arizona Society of Healthcare Lawyers, Board of Directors
Indiana University School of Law, Indianapolis, Indiana
Juris Doctorate, Magna Cum Laude, 1991
Associate Editor, Indiana Law Review
DePauw University, Greencastle, Indiana
Bachelor of Arts, Physics, 1988
Bar and Court Admissions
Supreme Court of Arizona 1991
US District Court for the District of Arizona, 1992
US Court of Appeals for the Ninth Circuit, 1996
Getting Back to Normal: AHCCCS Begins Regular Enrollment Renewals
Concurrent with the Covid-19 Public Health Emergency (“PHE”), the Arizona Health Care Cost Containment System (“AHCCCS”) modified requirements related to member enrollment and provider revalidation. Following the Consolidated Appropriations Act of December 2022, Medicaid is decreasing specific additional funding made available during the PHE. As a result, AHCCCS has returned to the regular renewal process…
Nine Milligan Lawless Attorneys Recognized in The Best Lawyers in America© 2023
The Best Lawyers in America© is the longest-running peer-review publication in the legal profession.
New Arizona Business Entity Law: Health Professionals
Arizona passed a new law clarifying that licensed health professionals can form and practice through different types of business entities.
Liability for Negligent Disclosure of Medical Records
Since HIPAA’s creation almost 25 years ago, many have long suspected that, eventually, a provider’s failure to comply with HIPAA might result in a patient’s recovery of economic damages as a result. Although HIPAA violations can lead to economic penalties imposed by the U.S. Department of Health and Human Services Office for Civil Rights, HIPAA…
10 Milligan Lawless Attorneys Recognized in The Best Lawyers in America© 2021
The Best Lawyers in America© is the longest-running, peer-review publication in the legal profession.