Ann M. Bittinger

Ann M. Bittinger

Attorney Profile

Top Rated Health Care Attorney in Jacksonville, FL

The Bittinger Law Firm
 | 121 W Forsyth St, Suite 120
Jacksonville, FL 32202
Phone: 904-821-9000
Fax: 904-821-9400
Selected To Super Lawyers: 2019 - 2021
Selected To Rising Stars: 2011
Licensed Since: 1998
Practice Areas:
  • Health Care
    Attorney Profile

    Ann M. Bittinger is the founder of The Bittinger Law Firm /The Healthcare Lawyer, headquartered in Jacksonville, Florida.  She specializes in advising healthcare entities and healthcare professionals in their business transactions.  Her particular expertise is advising physicians on their employment agreements (particularly in onboarding and offboarding from their jobs) and in legal relationships between hospital systems and physicians or physician groups, such as co-management agreements, joint ventures, clinical integration arrangements, practice acquisitions and employment agreements.  Her clients include all types of entities and individuals in the healthcare industry: health systems, physician groups, physicians, a physician-hospital organization, laboratories, pharmacies, distributors and other practitioners.  Board certified by The Florida Bar in health law in 2006, she is in particular demand from companies located outside Florida that are expanding their businesses into Florida.  She has serviced client companies headquartered in Dallas, Nashville, Boston, New York City, San Francisco, Los Angeles, Canada and London, U.K.

    For 11 consecutive years, she has been rated "AV" by Martindale-Hubbell's Peer Review Ratings, the highest possible ratings in both legal ability and ethical standards.

    In May 2014, Ann was elected to the American Health Lawyers Association Board of Directors and was re-elected for a second three-year term.  She is the only private practice attorney in Florida to ever serve on the Board.  She has presented at ten AHLA in-person seminars on healthcare transactions and legal ethics issues. She lectures frequently on health law matters for local, state and national groups including the American Bar Association and American Health Lawyers Association. From 2010-2012 she was the Chair of the Physician Practice Group of the American Health Lawyers Association. She also edited that Group’s national newsletter. She also served on the Executive Committee of the Health Law Section of The Florida Bar.  She chaired the health law section of the Jacksonville Bar Association for two years.

    She is licensed to practice law in Florida, Missouri and Kansas.  Ann graduated from the University of Kansas School of Law, where she earned the prestigious position of editor-in-chief of the law review. Upon graduation, she worked for law firms in Kansas City, Missouri, practicing transactional and regulatory law for business and health care clients. In 2001 she was hired by Nemours as its health law attorney in its Jacksonville headquarters. Identifying a need for health care attorneys in Northeast Florida, she started her firm in 2004. Raised in an entrepreneurial family, she most enjoys representing new businesses and businesses in growth phases.

    Certificates and Credentials

    Florida Bar Board of Legal Specialization

    About Ann Bittinger

    Admitted: 1998, Florida

    Professional Webpage:


    • Preeminant rating., AV rated 12 consecutive years, Martindale Hubbell
    • 2006-2010, Board Certified Expert in Health Law, Florida Bar, 2006
    • Top Up and Coming Attorney in Florida, Florida Trend Magazine, 2005
    • Top Up and Comers in Jacksonville, Jacksonville Business Journal, 2004

    Special Licenses/Certifications:

    • Board certification in health law, 2006

    Bar/Professional Activity:

    • Vice Chair, Physicians Practice Group, American Health Lawyers Association, 2004
    • Author in six volumes of the Health Law Handbook, edited by Alice Gosfield, Esq., from 2014 to 2020.
    • Member, Board of Directors, American Health Lawyers Association
    • Chair, Vice-Chair, Physicians Practice Group, American Health Lawyers Association

    Pro bono/Community Service:

    • Board of Directors, Jacksonville Public Library Foundation, 2019

    Scholarly Lectures/Writings:

    • Speaker in Virtual Seminar for the top trade organization for surgeons, Speaker, RVU Compensation Formulas in Physician Employment Agreements, American College of Surgeons, Physicians, 2020
    • Thoughtful advice for attorneys on how to negotiate physician employment agreements amid the current consolidated healthcare industry., Author, Analyzing Physician Employment Agreements in 2020 with 20/20 Vision: Modern Approaches to Contract Negotiation and Analysis, The Health Law Handbook, Healthcare Lawyers, 2020
    • Article on legal issues in the consolidation of physician groups into healthcare systems, Author, The Boomerang Effect of Hospital/Physician Integration: Approaching Medical Practice Sales with an Eye on a Future Unwind, Health Law Handbook, Healthcare Lawyers; Physician Groups; Health Systems, 2017
    • Regular contributor to quarterly publication, health law articles, Regular Contributor; "Health Minds" column, Magazine; American College of Gastroenterology, American College of Gastroenterology, Physician Groups; Healthcare Attorneys
    • Flown to Cayman Islands to present at conference for women physicians., Speaker, A Mindfulness Approach to Physician Employment Agreements, Women Physicians Wellness Conference, 2020
    • Flown to San Antonio to speak at national conference for gastroenterologists; address group on health law matters., in-person speaker at national conference, The Company Model: how endoscopy centers can pay for anesthesia providers, American College of Gastroenterology, Health Law; Gastroenterology, 2019
    • Since the issuance of OIG Advisory Opinion 12-06 six years ago, relationships between surgery centers and their anesthesia service line have been in flux. The long and winding road of the Florida Society of Anesthesiology v. Choudhry whistleblower case has not made it any easier for healthcare attorneys to advise their clients in this sector. This webinar will analyze the Company Model that the Advisory Opinion disavows, discuss the public record in the FSA v. Choudhry case and present possible relationship structures.  , Speaker, Healthcare Transactions Law: Relationships between Surgery Centers and Anesthesia Providers, The Kansas Bar Association, Attorneys Representing Healthcare Entities; Physicians Who Own Anesthesia Groups Or Surgery Centers, 2019
    • Article on balance billing, usual and customary  and quantum meruit and other approaches to non-par payments to healthcare providers., Author, At Great Cost: Physician Groups Going "Non-Participating with Commercial Payers", The Health Law Handbook, Healthcare Lawyers; Economists, 2018
    • In depth analysis of in house attorney role in hospital being investigated and prosecuted for violation of federal healthcare laws., Author, WAVE INTERFERENCE: A CASE STUDY OF THE HALIFAX HOSPITAL JUDGMENT ON IN-HOUSE HEALTH ATTORNEYS’ PRACTICES IN AN ERA OF CONSOLIDATION AND HEIGHTENED SCRUTINY OF PHYSICIAN COMPENSATION , The Health Law Handbook, Healthcare Lawyers, 2015
    • Addressing Insurers Who Try to Take Back Alleged Overpayments, Florida Allergy, Asthma & Immunology Society, 2007
    • How to Negotiate Agreements So That Relationships Last, Florida Employment Law Letter, 2007
    • Recent Legal Changes Affecting Rheumatologists, Florida Society of Rheumatology, 2006
    • Issues with Pediatric Consent: Consent and Privacy Issues to Address When Treating Adolescents, Northeast Florida Medicine, 2006
    • Top Legal Issues in Operating an Urgent Care Center, Urgent Care Association of America National Convention, 2008
    • Deciphering the OIG 2005 Work Plan, Physicians Organizations, 2005
    • The Pain Management Catch-22: Avoiding Criminal Charges for Prescribing Controlled Substances, Health Lawyers News, 2005
    • Legal Hurdles to Leap to Get Medical Treatment for Children, The Florida Bar Journal, 2006
    • Is an NP or PA Right for Your Medical Practice?, Florida Medical Business, 2005
    • Changes to EMTALA Rules Affect Pediatric Emergency Departments, Pediatric Emergency Care, 2004
    • EMTALA Changes Create Arguments About On-Call Requirements, Physicians Organizations, 2004
    • EMTALA and Urgent Care Centers, Urgent Care Association of America National Convention, 2008
    • Florida Health Law Emerging Issues, American Bar Association Emerging Issues in Health Law, 2007
    • Employing Nurse Practitioners and Physician Assistants, Florida Allergy and Immunology Society Annual Meeting, 2007
    • Employment Law issues in Medical Practices, Florida Allergy and Immunology Society Annual Meeting, 2007
    • How to Avoid a Medicare Audit, Florida Rheumatology Society Annual Meeting, 2006
    • Payer Contract Negotiation Pitfalls, Florida Rheumatology Society Annual Meeting, 2006
    • How to Establish Fair Market Value for Stark and Anti-Kickback Purposes, Physicians and Physician Organizations Institute, 2004
    • How to Implement an Effective HIPAA Compliance Plan, HIPAA Summit, 2000
    • Ms. Bittinger addressed a national webinar audience about issues physician groups and hospitals should consider when contracting for call coverage. , Webinar Featured Speaker, Best Practices in Contracting for Call Coverage Following Advisory Opinion 09-05, American Health Lawyers Association, 2009

    Other Outstanding Achievements:

    • Leadership Jacksonville, 2008
    • Woman of Distinction; Jacksonville Business Journal, 2014



    Educational Background:

    • University of Kansas JD, 1998

    Industry Groups

    • Florida Bar
    • Kansas Bar
    • Missouri Bar
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    Office Location for Ann M. Bittinger

    121 W Forsyth St
    Suite 120
    Jacksonville, FL 32202

    Ann M. Bittinger:

    Last Updated: 12/29/2020

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