As the nation reels from the heartbreaking COVID-19 pandemic, scrutiny of Skilled Nursing Facilities and Long-Term Care facilities is all but certain to continue. Industry leaders and recent data suggests providers anticipate enhanced oversight from... Read More
Blogs & Articles | COVID-19 Resources | Healthcare | Healthcare Law | Healthcare Litigation | Healthcare Practice Compliance | Managed Care Negotiations and Strategies | Skilled Nursing Facilities and Long-Term | Value Based Care

Since the onset of the COVID-19 public health emergency in March 2020, healthcare providers have operated under a variety of waived or relaxed regulatory requirements, particularly as it relates to licensing, telehealth, and Medicare and Medicaid... Read More
Blogs & Articles | COVID-19 Resources | Healthcare | Healthcare Law | Healthcare Practice Compliance | Telehealth and Telemedicine

On June 12, 2021, a federal District Court in Texas dismissed a case filed by employees of Houston Methodist Hospital’s (the “Hospital”) challenging the Hospital’s mandatory COVID-19 vaccination policy. Bridges, et al v. Houston Methodist... Read More
Blogs & Articles | COVID-19 Resources | Employment Matters | Healthcare | Healthcare Law | Hospitals and Healthcare Systems

During the past year, the COVID-19 pandemic has illuminated, more than ever before, the critical role government agencies have in virtually all aspects of our lives, including public health. The Freedom of Information Act (“FOIA”), 5 U.S.C. §... Read More
Blogs & Articles | COVID-19 Resources | Healthcare Law | Pharmacy Law | Regulatory Compliance, including FDA, DEA and HIPAA

In January 2020, the declaration of COVID-19 as a public health emergency relaxed certain billing requirements.  See 42 C.F.R. 422.100(m) (describing requirements applicable to services provided during a disaster or emergency).  These areas, as... Read More
All types of single and multi-specialty medical practice groups | Blogs & Articles | COVID-19 Resources | Data Transactions | Healthcare | Healthcare Law | Medical Practice Representation | White Collar Defense and Government Investigation

Early in the COVID-19 outbreak, on April 2, 2020, the Centers for Medicare and Medicaid Services (“CMS”) issued a suspension of most of their audit activities.  This suspension was in place until August 5, 2020, when most audit activities... Read More
All types of single and multi-specialty medical practice groups | Blogs & Articles | COVID-19 Resources | Healthcare | Healthcare Law | Medicare and Insurance Audits

As we reported here, Pharmacy Benefit Managers (“PBMs”) have been conducting series of audits on prescription claims that were submitted by pharmacies during the novel coronavirus (“COVID-19”) pandemic.  The same trend has been observed in... Read More
Blogs & Articles | Community, Retail Pharmacies | COVID-19 Resources | Defending Pharmacies in PBM Audits | Life Sciences | Pharmacy Law

In the recent months, Frier Levitt has noticed a significant spike in the number of audits conducted by Pharmacy Benefit Managers (“PBMs”) on prescription claims submitted by the pharmacies during the novel coronavirus (“COVID-19”)... Read More
Blogs & Articles | Community, Retail Pharmacies | COVID-19 Resources | Defending Pharmacies in PBM Audits | Life Sciences | Pharmacy Law

With the onset of the pandemic and the flood of claims submitted by providers to government payors in connection with it – such as claims for COVID testing or upwardly (risk) adjusted PMPM capitation payments – comes substantial risk for the... Read More
All types of single and multi-specialty medical practice groups | Blogs & Articles | COVID-19 Resources | Healthcare | Healthcare Law | Healthcare Litigation | Medicare and Insurance Audits

In what may be the first of many lawsuits, a New Mexico county prison guard has filed a lawsuit challenging a directive requiring all first responders to receive a COVID-19 vaccine as a condition of continued employment. The lawsuit is particularly... Read More
Ambulatory Care Facilities | Blogs & Articles | COVID-19 Resources | Employment Matters | Employment Matters | Healthcare | Healthcare Law | Hospitals and Healthcare Systems