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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 and Non‑Profit/Charities Law. She is also listed in Chambers USA: America’s Leading Lawyers for Business (Chambers & Partners Publishing).

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
  • Board Fiduciary Duties and Liability
    , 2014
  • Strategic Planning For Medical Practices
    , 2014
  • Maintaining a Private Practice in Today’s Environment
    , 2013
  • Physician Employment Agreements
    , 2012
  • Compliance Plans and Fraud/Stark Audits
    , 2012
  • Preparing For 2013 and Beyond
    , 2012
  • Physician Self-Referral Law (“Stark Law”)
    , 2011
  • Physician Employment Agreements
    , 2010
  • Medical Records Law in Nebraska
    , 2008
  • Koley Jessen P.C., L.L.O. Health Law Practice Group Seminar
    , 2008
  • Joint Ventures Between Hospitals and Physicians
    , 2007
  • A Potpourri of Common Medical Practice Issues
    , 2006
  • Nebraska Nonprofits: Tax and Business Answers
    , 2005
  • Group Purchasing Organizations and the Medicine Prescription Drug Improvement and Modernization Act of 2003
    , 2004
  • Physician Self-Referral Law
    , 1999
  • New Stark II Regulations and Compliance Programs
    , 1998
  • Physician Self-Referral Law (‘Stark’),” Healthcare Financial Management Association
    , 1998
  • The Role of Legal Counsel in Compliance
    , 1997

Publications

  • Medicare Enrollment/Revalidation
    Metro Omaha Medical Society Physicians Bulletin, 2014
  • Nonprofit Fundraisers
    03.15.2013
  • Nonprofit Fundraisers and Sales Tax
    Koley Jessen P.C., L.L.O. Client Advisor, 2012
  • HIPAA Update and the Proposed Rule
    Metro Omaha Medical Society Physicians Bulletin, 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 Liens
    Metro Omaha Medical Society Physicians Bulletin, 2009
  • CMS Update
    Metro Omaha Medical Society Physicians Bulletin, 2008
  • Mental Health Medical Records
    Metro Omaha Medical Society Physicians Bulletin, 2007
  • Charitable Donations
    Metro Omaha Medical Society Physicians Bulletin, 2007
  • 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
  • Reporting Child Abuse
    Metro Omaha Medical Society Physicians Bulletin, 2006
  • 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
  • Shareholder Physician Compensation
    Koley Jessen P.C., L.L.O. Client Advisor, 2003
  • 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

Chambers USA, Healthcare Law, 2008-2019
Best Lawyers in America (© Woodward/White Inc.),Health Care Law and Non-Profit/Charities Law, 2007-2020
"AV" Rating, Preeminent, Martindale-Hubbell

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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