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Karen Shuler has been advising health care providers and nonprofit organizations for over 35 years on all aspects of their business, including day‑to‑day and strategic planning issues.  Karen’s vast experience and expertise allows her to provide clients with practical advice and meaningful guidance in industries that are highly regulated.

Karen has been selected by her peers for inclusion in Best Lawyers in America (© Woodward/White Inc.) for her work in Health Care Law, 2007‑2017, and Non‑Profit/Charities Law, 2016‑2017.

Karen is a Shareholder and past Chair of the Firm’s Health Law Practice Group and Mentor Committee.  She also served on the Firm’s Executive Committee.

Experience

Experience

Health Care Providers

  • Accountable care organizations
  • Ambulatory Surgery Centers
  • Compliance programs
  • Credentialing/peer review and licensing
  • Health system alignment
  • Independent practice associations and clinically integrated networks
  • Joint ventures
  • Medical records and informed consent
  • Medical Part B billing, coding and reimbursement
  • Medicare/Medicaid enrollment
  • Mid‑level providers
  • Payer contracting
  • Physician‑owned specialty hospitals
  • Physician recruitment
  • Regulatory matters including Stark Law, Anti‑Kickback Statute, EMTALA, and HIPAA

Nonprofit Organizations

  • Formation and obtaining tax‑exempt status
  • Private foundations
  • Business leagues/trade associations
  • Board fiduciary duties/conflicts of interest
  • Reasonable compensation analysis
  • Form 990 Policies/Procedures
  • Grant applications
  • Fundraisers and sales tax application

News & Publications

Speaking Engagements

  • Family Physicians and ACOs - Create Your Own Future
    , 2016

Publications

  • Board Fiduciary Duties and Liability
    Metro Omaha Medical Society Board Presentation, 2014
  • Medicare Enrollment/Revalidation
    Metro Omaha Medical Society Physicians Bulletin, 2014
  • Strategic Planning For Medical Practices
    Wells Fargo Physician Seminar, 2014
  • Maintaining a Private Practice in Today’s Environment
    Nebraska Orthopaedic Administrators (BONES) Seminar, 2013
  • 03.15.2013
  • Preparing For 2013 and Beyond
    Nebraska Medical Association, Metro Omaha Medical Society, Foster Group and Koley Jessen P.C., L.L.O. Seminar, 2012
  • Nonprofit Fundraisers and Sales Tax
    Koley Jessen P.C., L.L.O. Client Advisor, 2012
  • Physician Employment Agreements
    University of Nebraska Medical Center, Anesthesiology Residents’ Club Meeting, 2012
  • Compliance Plans and Fraud/Stark Audits
    Lutz & Company, P.C. and Koley Jessen P.C., L.L.O. Healthcare Seminar, 2012
  • Physician Self-Referral Law (“Stark Law”)
    University of Nebraska Medical Center, Department of Family Medicine Practice Management Course, 2011
  • Nonprofit Fundraisers and Sales Tax
    Metro Omaha Medical Society Physicians Bulletin, 2011
  • Checks and Balances: An Effective Compliance Plan to Stem Illegal Activity,
    Metro Omaha Medical Society Physicians Bulletin, 2010
  • Physician Employment Agreements
    University of Nebraska Medical Center, Department of Family Medicine, Family Medicine Practice Management Course, 2010
  • Physician Liens
    Metro Omaha Medical Society Physicians Bulletin, 2009
  • Koley Jessen P.C., L.L.O. Health Law Practice Group Seminar
    Lorman Education Services Seminar, 2008
  • CMS Update
    Metro Omaha Medical Society Physicians Bulletin, 2008
  • Joint Ventures Between Hospitals and Physicians
    Metro Omaha Medical Society Health Care Reform Summit, 2007
  • Mental Health Medical Records
    Metro Omaha Medical Society Physicians Bulletin, 2007
  • Charitable Donations
    Metro Omaha Medical Society Physicians Bulletin, 2007
  • Reporting Child Abuse
    Metro Omaha Medical Society Physicians Bulletin, 2006
  • A Potpourri of Common Medical Practice Issues
    Midwest Oncology Practice Society Seminar, 2006
  • Crossing the State Line
    Metro Omaha Medical Society Physicians Bulletin, 2006
  • Dos and Don’ts for Political Contributions
    Metro Omaha Medical Society Physicians Bulletin, 2006
  • Nebraska Nonprofits: Tax and Business Answers
    National Business Institute Seminar, 2005
  • Liability Serving as a Volunteer
    Metro Omaha Medical Society Physicians Bulletin, 2005
  • Medical Records Retention Policy
    Metro Omaha Medical Society Physicians Bulletin, 2005
  • Health Care Provider Liens
    Koley Jessen P.C., L.L.O. Client Advisor, 2004
  • Discounts and Waivers of Co-Pays and Deductibles
    Koley Jessen P.C., L.L.O. Client Advisor, 2004
  • Group Purchasing Organizations and the Medicine Prescription Drug Improvement and Modernization Act of 2003
    Midwest Oncology Practice Society Seminar, 2004
  • Shareholder Physician Compensation
    Koley Jessen P.C., L.L.O. Client Advisor, 2003
  • Physician Self-Referral Law
    Metro Omaha Medical Society Seminar, 1999
  • Physician Self-Referral Law (‘Stark’),” Healthcare Financial Management Association
    Nebraska Chapter Annual Meeting, 1998
  • New Stark II Regulations and Compliance Programs
    Koley Jessen P.C., L.L.O. Health Law Practice Group Seminar, 1998
  • The Role of Legal Counsel in Compliance
    Nebraska Association of Hospitals and Health Systems Seminar, 1997
  • Managed Care Contracts: Guidelines for Physicians
    Riskey, Preferred Physicians Insurance Co., 1st Quarter, 1994
  • Legal Issues Involved in Hospital Physician Relationships
    Nebraska Hospital Association Law Letter , 1993

Honors & Affiliations

Honors & Awards

Best Lawyers in America (© Woodward/White Inc.),Health Care Law, 2007-2018, Non-Profit/Charities Law, 2016-2018
"AV" Rating, Preeminent, Martindale-Hubbell
Chambers USA: America’s Leading Lawyers for Business (Chambers & Partners Publishing)

Community & Professional

Nebraska, Iowa, and American Bar Associations
American Health Lawyers Association
Immanuel Charitable Foundation, Past Board of Directors; Past Executive Committee, Past President
Mercy High School, Past Member of Board of Directors
Nebraska Continuing Legal Education, Board of Directors
Evangelical Lutheran Church of America – Nebraska Synod, Past Chair of Finance Committee
Trinity Lutheran Church, Past Council Member and Past President, Past Chair of Endowment Fund and Stewardship Committees

Education

J.D., University of Nebraska College of Law, 1981

B.S., University of Nebraska – Lincoln, 1978

Admissions

  • State of Nebraska
    State of Iowa
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