Last month, Philips RS North America, LLC (formerly Respironics, Inc.), a durable medical equipment manufacturer, agreed to pay $1.28 million to settle civil allegations that it unlawfully induced referrals for its equipment in violation of the... Read More
Frier Levitt recently assisted a Florida-based retail pharmacy in overcoming a substantial number of discrepancies raised during a PBM audit. The PBM alleged that the pharmacy had several discrepancies, including invalid proof of a patient’s... Read More
Pharmacy Benefit Managers (PBMs) routinely request that pharmacies submit credentialing and re-credentialing applications, which require pharmacies to provide complete ownership information. In addition, PBMs require that pharmacies identify any... Read More
Many of our clients are surprised to learn that they have protectable intellectual property within their business or practice. Some are obvious: formulas, manufacturing and testing methods, product names, authored literature, customer lists. Others,... Read More
Last week, a federal jury convicted a podiatrist for his role in orchestrating and implementing a scheme to defraud Medicare. Dr. Kenneth Mitchell, who was terminated from participating in the Medicare program in 2015, sought an end-run around the... Read More
The New Jersey Division on Civil Rights (DCR) amended its regulations governing the display of certain employment-related posters in the workplace relating to the New Jersey Law Against Discrimination (NJLAD), New Jersey Family Leave Act (NJFLA),... Read More
The Ninth Circuit ruled that a pharmaceutical manufacturer cannot sue a 503B compounding facility for compounding versions of its commercially available product in Nexus Pharmaceuticals, Inc v. Central Admixture Pharmacy Services (CAPS), Nexus... Read More
All members of the health care industry have a legal and ethical duty to deal with the Federal health care programs (e.g., Medicare, Medicaid, and Tricare) with integrity. In keeping with this duty, practitioners are expected to employ measures to... Read More
Earlier this month, the Department of Health and Human Services Office of Inspector General (“OIG”) released a data brief that identified potential concerns of fraud, waste, or abuse in telehealth services delivered during the first year of the... Read More
The New Jersey Appellate Division affirmed an employer’s decision to terminate an employee over her comments on a Facebook post. In a recent matter, an employee of a New Jersey health system was terminated after her employer discovered Facebook... Read More
