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»  Posts By   October 2017 

Opioid Indictment Underscores Importance of Vigilant Compliance

Frier Levitt's regulatory, transactional and criminal defense attorneys begin each day reviewing Department of Justice (DOJ) news bulletins regarding its successful enforcement activity. Later in the day, an interdepartmental meeting occurs and we analyze the potential impact of the DOJ's investigations, indictments and convictions on our clients' transactional documents, operations and/or regulatory analyses. Our mission is to inform our healthcare and life sciences provider clients with updates on prosecutorial investigations...

PHARMACY ALERT: Be Cautious of OIG Inquiries into Your Pharmacy’s E1 Transaction History

During the Implementation of Medicare Part D, the Centers for Medicare & Medicaid Services (CMS) created a mechanism to allow pharmacies to determine eligibility for Medicare Part D benefits. The process is called an E1 transaction and confirms the Medicare Eligibility of an individual after submission of basic demographic information. Recently, Frier Levitt has become aware that the Department of Health and Human Services (HHS), Office of Inspector General (OIG)...

Why Physicians with Small Medical Practices in Competitive Environments Should Consider Forming a Super Group

Daniel B. Frier, Esq., discusses the advantages of physicians with small medical practices in competitive environments forming an integrated group practice, also known as a Super Group. This video covers: - What is a Physician Super Group? - Why form a Super Group? - Forming a Multi or Specialty Super Group - The structure of a Super Group - Frequently Asked Questions about Super Groups and Super Group formation If...

CMS Tactics Used to Exclude Providers: How One Physician Can Sink the Whole Group

While some may still question whether it is true that "one bad apple can spoil the bunch," when it comes to doctors, group practices, and Medicare, this well-known adage is true. Surprisingly, there are instances when a single doctor's conduct, can result in dire consequences for the practice's Medicare privileges. Under the regulations governing revocation of Medicare privileges, the Centers for Medicare and Medicaid Services (CMS) can revoke Medicare privileges...

The Importance of Revisiting Your Corporate Documents

In many ways, the healthcare industry is in a state of constant flux. With legal and regulatory changes, increasing overhead expenses and shift into non-fee-for-service reimbursement, health care providers, including medical practices, ambulatory surgery centers, specialty pharmacies, laboratories and the like, face a number of challenges to remain viable and competitive. As a result, it is more important than ever for providers to periodically review and update their corporate documents...
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