The revocation of enrollment in the Medicare program is an ever-present threat for providers and/or suppliers (“health care providers”). Federal regulations allow the Centers for Medicare & Medicaid Services (“CMS”) to revoke the... Read More
All types of single and multi-specialty medical practice groups | Blogs & Articles | Healthcare | Healthcare Law | Medicare and Insurance Audits | Physicians and Medical Practices of all Specialties | Professional Board Actions

To gain admission to a Pharmacy Benefit Manager ("PBM") pharmacy network, long-term care (LTC) pharmacies are expected to undergo a credentialing process. Generally, the credentialing process for an LTC pharmacy is similar to that of a retail... Read More
Blogs & Articles | Defending Pharmacies in PBM Audits | Life Sciences | Long-Term Care Pharmacies | Payor Network Access and Defense of Network Terminations | Pharmacy Law

As earlier noted, the New York State Department of Health (“NYDOH”) and the New York State Department of Education (“NYSED”) promulgated a so-called “policy,” which is actually a poorly-disguised agency rule, precluding New York... Read More
Blogs & Articles | Community Oncology Practices & Other Dispensing Physician Practices | Life Sciences | Pharmacy Law | Physician Dispensing

Who should read this notice: All healthcare professionals, especially those utilizing telemedicine services Owners, operators and managers of laboratories and/or other testing and treatment facilities Pharmacies and other medical... Read More
Blogs & Articles | COVID-19 Resources | Federal and State Fraud and Abuse Counseling | Federal and State Fraud and Abuse Counseling | Healthcare | Healthcare Law | Life Sciences | News & Press | Pharmacy Law | Telehealth and Telemedicine | White Collar Criminal Defense & Government Investigations | White Collar Defense and Government Investigation

Effective on January 1, 2022, the Centers for Medicare & Medicaid Services (CMS) and the Department of Health and Human Services (HHS) will implement the Final Rule for Medicare and Medicaid Programs. The Final Rule establishes pharmacy... Read More
Blogs & Articles | Chain Pharmacies | Community, Retail Pharmacies | Defending Pharmacies in PBM Audits | Life Sciences | Pharmacy Law | Pharmacy Transactions | Plan Sponsor PBM Contract Services

In a win for pharmacy in the decade long squirmish between FDA and compounding pharmacies, FDA has been ordered to conduct a review of its MOU. The MOU establishes an understanding between individual State Boards of Pharmacy and the FDA involving... Read More
Blogs & Articles | Community, Retail Pharmacies | Life Sciences | National Board of Pharmacy Matters | Pharmacy Law | Physician Dispensing

Last week, the Federal Trade Commission (“FTC”) issued a policy statement that served to remind developers of apps, connected device manufacturers, and related entities of the applicability of the FTC’s Health Breach Notification Rule... Read More
All types of single and multi-specialty medical practice groups | Blogs & Articles | Healthcare | Healthcare Law | Healthcare Practice Compliance | HIPAA Compliance | Telehealth and Telemedicine

Frier Levitt successfully reversed network enrollment denial by a national Pharmacy Benefit Manager (“PBM”) against a Georgia-based pharmacy.  The PBM conducted a desktop audit along with invoice reconciliation.  While the PBM did not find... Read More
Blogs & Articles | Community, Retail Pharmacies | Defending Pharmacies in PBM Audits | Life Sciences | Pharmacy Law | Recent Results

https://www.youtube.com/watch?v=fO0mTS8hFRc On September 20th, 2021, Frier Levitt partner Anthony Mahajan, Esq. presented an Ethics CLE webinar as part of the September Conference for the ACC New Jersey (Association of Corporate Counsel)  He... Read More
Life Sciences | Pharmacy Law | Regulatory Compliance, including FDA, DEA and HIPAA | Webinars | White Collar Criminal Defense & Government Investigations

Earlier this summer, the Centers for Medicare & Medicaid Services (“CMS”) published the proposed Physician Fee Scheduled (“PFS”) for calendar year 2022, which included several proposed changes affecting telehealth and digital... Read More
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