Legal services for healthcare private practitioners

There is nothing worse than having to pay an attorney for their time while you explain what you do before the attorney can help you.

That will never happen at Simons & Associates. We understand health care because we are also health care providers.

Meet Gwen Simons

Gwen Simons, Esq, PT, OCS, FAAOMPT founded Simons & Associates Law in 2007 as a law firm  that caters to the needs of health care providers in private practice.  As a physical therapist and former private practitioner herself, she understands that small practices need cost-effective legal and compliance solutions and has designed her services to meet those needs.  That’s why since 2007, she has become trusted legal counsel for 40+ physical therapy practices in Maine and 600+ entrepreneurial practitioners nationwide who have started telehealth, consulting and cash practices.  Gwen also currently serves as the Executive Director for the NorthEast Private Practice Network, working on legislation and regulations that promote appropriate reimbursement, fair contracts with payers and a level playing field for private practitioners to compete. 

Before attending law school at the University of Maine School of Law, Gwen started 3 private practices in the Louisville, KY area, provided contract services to a rural Kentucky hospital and provided work injury management and job analysis consultation services to large industries.  She has been a tireless advocate for physical therapists since graduating from PT school at the University of Kentucky in 1986 serving as the  President of the Kentucky Physical Therapy Association and the Maine Chapter, APTA.  She currently serves on task forces for the Private Practice Section (PPS), the Occupational Health Special Interest Group of the Academy of Orthopaedics and the American Academy of Orthopaedic Manual Physical Therapists (AAOMPT).  As an expert physical therapist, she still performs functional capacity evaluations for personal injury, disability and workers’ compensation cases.

Whether you accept insurance, are a cash-based business or are developing intellectual property,  we can help.  Our mission is to make sure private practice survives and thrives!   

 

Services We Offer

Membership Programs

We offer a Cash Practice Membership Program for out of network providers and a Practice Management Network (PMN) Membership Program for in-network/Medicare providers that provides access to educational webinars, template forms and resources, and Q&A by phone and email for a low subscription fee.

Educational Webinars, Template Forms and Resources

Do you need an educational webinar, HIPAA, consent to treat or other forms for your practice? Visit our STORE to see what resources we offer!

Legal, Compliance and Business Consultation

We provide legal and business consultation on virtually any issue related to starting, managing, expanding and selling a private practice, including Medicare and HIPAA compliance advice.

Payer Denials, Recoupments & Appeals

If you are undergoing a Medicare or private payer audit, you need legal advice! We've worked with providers on Medicare ALJ appeals and commercial payer audits and pre-payment reviews. Don't voluntarily refund "overpayments" without getting legal advice! We also provide training/education on how to successfully appeal payment denials using state and federal laws.

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