Question 1

What does a medical practice attorney do?

Accepted Answer

A medical practice attorney handles the legal and regulatory side of buying or selling a physician practice. This includes structuring the deal to comply with Corporate Practice of Medicine rules, conducting diligence on payor contracts and Medicare enrollment, negotiating the purchase agreement and physician employment terms, and coordinating provider number transfers. At Acquisition Stars, Managing Partner Alex Lubyansky leads every physician practice transaction.

Question 2

What is a staged acquisition of a medical practice?

Accepted Answer

A staged acquisition is a common structure where the buyer acquires an initial ownership percentage, often 51%, with a contractual right or obligation to purchase the remaining interest over time. This structure lets the buyer begin building equity while the seller transitions gradually, and it can align incentives around patient retention and practice performance. The legal documents must carefully address buy-in price, trigger conditions, and each party's rights during the interim period.

Question 3

How does Corporate Practice of Medicine affect a physician practice acquisition?

Accepted Answer

Most states restrict ownership of medical practices to licensed physicians. When a non-physician buyer is involved, the deal typically requires a Management Services Organization structure that separates the clinical entity from the business operations. In strong CPOM states, the structure must hold up under state scrutiny while still delivering the economic deal the parties negotiated. We design structures that work in your specific state.

Question 4

What happens to Medicare and Medicaid enrollment when a practice is sold?

Accepted Answer

Medicare and Medicaid provider numbers and enrollment do not automatically transfer to a new owner. Depending on the transaction structure, the buyer may need to file a Change of Ownership (CHOW) with CMS, apply for new enrollment, or reassign billing privileges. The timing of these filings directly affects cash flow after closing. We build the provider number transition into the deal timeline so reimbursement does not stall.

Question 5

Can a physician buy the practice they currently work at?

Accepted Answer

Yes, and it is one of the most common physician practice transactions we handle. The physician already knows the patient base, the payor mix, and the operations, which simplifies due diligence but creates its own negotiating dynamics. Key issues include how the practice is valued relative to the physician's existing compensation, how a transition period is structured if the selling physician stays on, and how non-compete terms are written to reflect the physician's prior relationship with the practice.

Question 6

What does Acquisition Stars handle for medical practice acquisition law matters?

Accepted Answer

Acquisition Stars represents buyers and sellers across the full deal lifecycle: preliminary structuring, letter of intent, due diligence, definitive agreement negotiation, and closing mechanics. The firm handles purchase agreement drafting and negotiation for physician practice acquisitions, corporate practice of medicine (cpom) compliance and mso structuring, medicare and medicaid provider number transfer and chow filing coordination, among other transaction work. Alex Lubyansky leads every engagement.

Question 7

Who does Acquisition Stars typically represent in medical practice acquisition law engagements?

Accepted Answer

The firm represents physicians buying into or acquiring the practice where they currently work, physicians doing a staged buy-in (initial percentage with option for remainder), medical practice owners selling to a physician group, pe platform, or hospital system, along with other parties involved in mid-market and lower-middle-market transactions. Engagements range from single-buyer acquisitions to multi-party recapitalizations.

Question 8

Does the firm represent clients outside Michigan?

Accepted Answer

Yes. While the firm office is in Novi, Michigan, Alex Lubyansky represents clients nationwide on M&A and securities transactions. Most engagements involve out-of-state buyers, sellers, or target companies. The firm regularly admits pro hac vice in other states when matters require it.

Question 9

Who will work on my deal?

Accepted Answer

Alex Lubyansky leads every engagement at Acquisition Stars. He sets the deal strategy, leads the negotiation, and runs closing, and every document is reviewed by him before it goes to the other side. An associate supports the work, including first drafts and diligence review. You will know who is doing what at each stage of the transaction.

Question 10

How does the firm price medical practice acquisition law engagements?

Accepted Answer

Pricing varies with deal size, complexity, and timeline, so Acquisition Stars does not publish a fee schedule. After a brief initial conversation about the deal specifics, the firm provides a written engagement scope, typically as a bundled engagement or with a not-to-exceed budget, so clients can plan the matter with confidence.

Medical Practice Attorney

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Why a Medical Practice Attorney Matters

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Questions to Ask Any M&A Attorney Before Hiring

1. "Who will actually handle my transaction?"

2. "How many M&A transactions has the lead attorney closed in the past 12 months?"

3. "What is your experience with my deal size and industry?"

4. "Will you coordinate with my CPA, financial advisor, and broker?"

5. "How do you handle post-closing disputes?"

6. "What is your fee structure, and what drives cost?"