Blogs & Articles Archives | Frier Levitt

HHS Announces $5.1 Million Settlement for HIPAA Breach Affecting Over 9.3 Million

Arielle T. Miliambro, Esq. and Jonian Rafti, Esq. January 15, 2021

On January 15, 2021, the Department of Health and Human Services Office for Civil Rights (“OCR”) announced that Excellus Health Plan, Inc. has agreed to pay $5.1 million and to implement a corrective action plan to settle potential violations of... Read More

HIPAA Compliance

OIG Increasing Scrutiny of Speaker Programs that Violate the Anti-Kickback Statute

Kendra E. Pannitti, Esq. and Danielle N. DelGrosso, Esq. January 15, 2021

In November 2020, the U.S. Department of Health & Human Services, Office of Inspector General (the “OIG”) issued a Special Fraud Alert to highlight the fraud and abuse risks associated with pharmaceutical and medical device company speaker... Read More

Blogs & Articles | Professional Board Actions | Professional Practice Representation | White Collar Criminal Defense & Government Investigations

Cigna’s Switch from CareCentrix to Wholly-Owned eviCore May Impact Network Access for IVIG Providers

Brenna Sackman, Esq. and Jesse C. Dresser, Esq. January 13, 2021

In February 2020, Cigna announced that it would be terminating its contract with CareCentrix, the third party administrator that had managed home infusion therapy services for Cigna’s beneficiaries nationwide. The announcement indicated that the... Read More

Blogs & Articles | Home Infusion Providers | Life Sciences

Failure to Verify Prescriber’s State License Via Computer System Leads to DOJ Action

Martha M. Rumore Pharm.D., Esq., Kendra E. Pannitti, Esq. and Daniel G. Giaquinto, Esq. January 12, 2021

The Department of Justice (“DOJ” or the “Government”) and Bartell Drug, Inc. (“Bartell”), a Washington State pharmacy chain of approximately 70 pharmacies, recently reached a civil settlement in which Bartell agreed to pay a fine... Read More

OIG Imposes Medicare Exclusions Longer Than Mandatory Minimum

Daniel G. Giaquinto, Esq. and Theresa M. DiGuglielmo, Esq. January 11, 2021

A criminal conviction relating to health care will result in an exclusion from Medicare and related health care programs. The length of the exclusion imposed depends on a variety of factors. Thinking about how to mitigate the impact of an exclusion... Read More

Blogs & Articles | White Collar Criminal Defense & Government Investigations

Pharmacy ALERT: CVS Caremark Nearly Doubles Drugs on “Aberrant Quantities” Product List Effective January 2021

Dae Y. Lee, Esq., Pharm.D CPBS and Harini Bupathi, Esq. January 7, 2021

In 2019, Frier Levitt reported a new dispensing limitation CVS Caremark (“Caremark”) introduced in its retail networks that took effect on January 1, 2020. Specifically, Caremark issued an “Aberrant Product List” that identified... Read More

Blogs & Articles | Community, Retail Pharmacies | COVID-19 Resources | Life Sciences

Emerging Trends in Payor-Mandated White Bagging

Martha M. Rumore Pharm.D., Esq. and Jesse C. Dresser, Esq. January 6, 2021

Over the last several years, several of the nation’s largest insurers, pharmacy benefits managers (PBMs), and specialty pharmacies have combined or consolidated into just a handful of vertically integrated healthcare conglomerates. This... Read More

Blogs & Articles | Home Infusion Providers | Life Sciences | Specialty Pharmacies

Joel M. Greenberg, Esq. Authors “Yet Another Appellate Department Unanimously Rules That the MLMIC Buyout Proceeds Belong to the Physician-Policyholder” in the New York Law Journal

Joel M. Greenberg, Esq. January 5, 2021

Joel M. Greenberg, Esq. discusses the recent MLMIC Healthcare proceeding in the New York Law Journal found... Read More

Administrative and Insurance Defense Law | Blogs & Articles

Employment Law Alert: Second Stimulus Does not Renew Families First Coronavirus Response Act (FFCRA), but Continues Payroll Tax Benefit

Sean E. Sanders, Esq. and Michelle L. Greenberg, Esq. January 4, 2021

As we predicted in our Client Alert last week, the expiration of the Families First Coronavirus Response Act (“FFCRA”) on December 31, 2020 leaves employers nationwide in a lurch, for the most recent pandemic relief package signed by the... Read More

Blogs & Articles | Employment Matters

Legal and Regulatory Issues in Self-Care Pharmacy Practice

Martha M. Rumore Pharm.D., Esq. January 4, 2021

Frier Levitt Clinician-Attorney and Senior Counsel, Martha M. Rumore, Pharm.D., MS, JD, LLM authored Chapter 4 of Handbook of Nonprescription Drugs titled "Legal and Regulatory Issues in Self-Care Pharmacy Practice" , 20th ed. This is an... Read More

Blogs & Articles | Life Sciences | Pharmacy Law

Category: Blogs & Articles