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»  Posts By   October 2016 

Hot Topics in Government Enforcement of the False Claims Act Webinar Recording

    The False Claims Act is a federal law that imposes liability on persons and companies that defraud government programs. Over the past year, the United States Department of Justice has dramatically stepped up its efforts to investigate and prosecute violations of the False Claims Act. Join John E. Morrone, Esq., as he demonstrates how healthcare providers can ensure compliance with the False Claims Act. This presentation will help...

Medicare Part D: DIR Fees and “Preferred Cost-Sharing Networks” Webinar Recording

    Plan sponsors and their administrators, such as Pharmacy Benefit Managers (PBMs), are increasingly imposing Direct and Indirect Remuneration ("DIR") fees on independent pharmacies nationwide, with a focus on pharmacies in a "Preferred Cost Sharing Network" ("PCSN"). Originally intended by the Centers for Medicare and Medicaid Services as a method to "true-up" drug pricing at the point of sale, DIR fees have been utilized by PBMs to siphon money...

Cloud Computing and HIPAA

Cloud storage and computing are being widely adopted by businesses across many fields, including those classified as Covered Entities and Business Associates under the Health Insurance Portability and Accountability Act (HIPAA). With such a significant modernization, how are the HIPAA obligations of these entities affected when using a Cloud Service Provider (CSP)? The Office for Civil Rights (OCR) recently released guidance for Covered Entities and Business Associates with respect to...

Can EHR Vendors Block or Terminate a Medical Practice’s Access to Patient Information?

We have seen numerous instances in which a medical practice notifies an EHR vendor that it plans to terminate the relationship with the vendor, and the EHR vendor refuses to transfer patient information or otherwise provide the practice with access to patient information, unless the practice pays an exorbitant fee. These situations raise the question of whether such behavior by the EHR vendor is legal and permissible. This question arises...