Emma E. Trivax

Emma represents a wide range of health care providers, including pharmacies, physician practices, management service organizations, dental service organizations, hospitals, clinical laboratories, skilled nursing facilities, ambulatory surgical centers, DMEPOS suppliers, and behavioral health providers.

Emma advises her clients on regulatory, transactional, and compliance matters, including: multistate licensure matters, fraud and abuses analyses (Stark Law, Anti-Kickback Statute, and other state and federal fraud and abuse laws); Health Insurance Portability and Accountability Act, and other data privacy and security matters, including AI use in health care settings; corporate practice issues; Medicare, Medicaid, and third-party payor billing or reimbursement issues; physician/hospital arrangements; telemedicine; and large-scale mergers and acquisitions. She is also experienced with commercial contracting matters in the health care and life sciences space, including clinical trial agreements and business associate agreements.

Health Care Transactions

• Provided strategic counsel to a dental service organization in a high-value acquisition of more than 60 dental facilities nationwide, enhancing their market presence significantly.
• Guided a national vision provider through a $5 million acquisition of multiple vision clinics, facilitating their expansion strategy.
• Assisted a pharmaceutical company in formulating a competitive bid for acquisition of assets from another pharmaceutical company, valued at more than $100 million, thereby strengthening their industry position.
• Performed regulatory diligence and assisted in the change-of-ownership process in connection with the acquisition of a multistate pharmacy.

Health Care Compliance

• Acted as the outside general counsel for a hospital system and various physician groups, advising on a range of corporate and health care compliance and regulatory matters.
• Defended a physician group in an alleged HIPAA violation lawsuit resulting in a successful outcome.
• Assisted a large health care facility respond to a HIPAA breach.
• Advised a health care financial technology provider on various compliance policies and procedures.
• Executed comprehensive multistate surveys on state licensure, change of ownership requirements, fraud and abuse prohibitions, corporate practice of medicine, and professional scope of practice.
• Provided ongoing regulatory and compliance advice to a multistate pharmacy, including the development of a corrective plan to enhance their adherence to federal and state rules and regulations.
• Counseled a multistate hospice care organization during an investigation into compliance practices.
• Advised a behavioral health group on regulatory and compliance matters related to Medicare and Medicaid, ensuring their operations align with legal requirements.

Investigations

• Conducted an investigation on behalf of a health system into allegations that a physician inappropriately conducted certain examinations.
• Conducted an investigation on behalf of a long-term care facility into allegations of nurse mistreatment of patients.
• Conducted an investigation on behalf of a national pharmacy regarding nurse misuse of the pharmacy’s automated medication system.

• Best Lawyers in America®: Ones to Watch: Health Care Law (2026)