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PHARMACY ALERT: PSAOs Amending Pharmacy Participation Agreements

Recently, pharmacies have been finding that Pharmacy Services Administrative Organizations (PSAOs) are amending their pharmacy agreements. Pharmacies should closely review these revisions to determine how their rights may change under the new contract amendments. Reviewing there visions is made even more important due to numerous PSAOs seeking to withhold moneys for GER and DIR reconciliations at the close of 2018. Often, PSAO pharmacy amendments become binding if a pharmacy does...

Telemedicine and Medicare: Requirements, Billing, Audits, and Pitfalls

https://youtu.be/c8yviaxSQio Attorneys John E. Morrone, Esq., and Jonathan E. Levitt, Esq. discuss telemedicine medicare requirements, billing, audits trends, and pitfalls, including: [00:00:00]: Medicare Paying for Telemedicine[00:02:29]: Medicare Location Requirements: Where Should a Physician Be?[00:05:04]: Medicare’s Audit of Telemedicine[00:07:41]: Proper Billing of Telemedicine Services[00:08:37]: Medicare’s Telemedicine Billing Rules[00:10:40]: Telemedicine Pitfalls: Third Party Billing[00:12:24]: Federal and State Telemedicine Law: Who Pays the Physician? Contact Frier Levitt today to speak to an attorney...

Recent Updates to New Jersey Employment and Billing Laws: What Every Practice Needs to Know

https://youtu.be/EZb6cIVW_7Q In July, the state of New Jersey enacted two major laws affecting every healthcare practice in the state. On the employment front, a new mandatory Paid Sick Leave Act that requires employers to provide employees with designated "sick leave." From a financial aspect, a new comprehensive New Jersey Out-of-Network (OON) Consumer Protection, Transparency, Cost Containment and Accountability Act that addresses multiple issues beyond mere balance billing. As no practice...

2019 Industry Outlook: What State Pharmacy Associations and Pharmacy Stakeholders Need to Know

With the November elections looming, the policy environment for pharmacy issues hangs in the balance. Who will control the halls of Congress as well as the state legislature will be key in determining the pace of pharmacy legislation. Over the last several months we have seen several positive developments for pharmacy, including clawback legislation; media pressure on PBM transparency; and other industry groups, such as the National Council of Insurance...

Parity Laws: How Physicians Can Be Reimbursed for Telemedicine

Attorneys John E. Morrone, Esq., and Jonathan E. Levitt, Esq. discuss telemedicine parity laws and how physicians can be reimbursed for telemedicine services, including: [00:00:00]: Payors Paying for Telemedicine Services[00:00:25]: What is a Parity Law?[00:01:49]: Physicians Getting Paid the Same for Telemedicine as They Do for In-office Visits [00:03:13]: Physicians Pushing Payors to Pay for Telemedicine Contact Frier Levitt today to speak to an attorney.