During the 2021 fiscal year, The U.S. Department of Justice (DOJ) recovered $5.6 billion in civil settlements and judgments involving fraud and violations of the False Claims Act; a record-breaking $5 billion of this recovery was derived from... Read More
All types of single and multi-specialty medical practice groups | Ambulatory Care Facilities | Ambulatory Surgery Facilities | Articles | Clinically Integrated Networks | Healthcare | Healthcare Law | Hospitals and Healthcare Systems | Laboratories | Management Services Organizations (MSO) | Medical Practice Representation | Telehealth and Telemedicine | White Collar Defense and Government Investigation

The Federal Anti-Kickback Statute (the “AKS”) prohibits the payment or receipt of remuneration to induce or reward referrals of items or services reimbursable by a federal health care program (including, but not limited to, Medicare and... Read More
Administrative and Insurance Defense Law | All types of single and multi-specialty medical practice groups | Healthcare | Healthcare Law | Hospitals and Healthcare Systems | Physicians and Medical Practices of all Specialties | White Collar Defense and Government Investigation

The Office for Civil Rights (OCR) announced a settlement with Oklahoma State University – Center for Health Services (OSU-CHS) related to a hacking incident that compromised the protected health information (PHI) of 279,865 individuals. The... Read More
All types of single and multi-specialty medical practice groups | Articles | HIPAA Compliance | Hospitals and Healthcare Systems | Medical Practice Representation | Physicians and Medical Practices of all Specialties

On June 29, 2022, the Department of Justice (“DOJ”) announced the formation of the New England Prescription Opioid (NEPO) Strike Force. This strike force will investigate and vigorously prosecute healthcare providers involved in healthcare fraud... Read More
All types of single and multi-specialty medical practice groups | Articles | Chain Pharmacies | Community Oncology Practices & Other Dispensing Physician Practices | Community, Retail Pharmacies | Digital Pharmacies | Dispensing Physician Practices and Dispensing Physicians | Federal and State Fraud and Abuse Counseling | Federal and State Fraud and Abuse Counseling | Fertility Pharmacies | Healthcare Practice Compliance | Hospitals and Healthcare Systems | Long-Term Care Pharmacies | Medical Practice Representation | Pain Management Compliance | Physician Dispensing | Physician Dispensing | Physicians and Medical Practices of all Specialties | Professional Practice Representation | Provider Relationship | Regulatory Compliance, including FDA, DEA and HIPAA | Specialty Pharmacies | Supermarket Pharmacies | Traditional Compounding Pharmacies (503A) | Urologist | White Collar Criminal Defense & Government Investigations | White Collar Defense and Government Investigation

On June 15, 2022, the Supreme Court of the United States ruled unanimously in favor of several hospital groups concluding that the Department of Health and Human Services (HHS) exceeded its statutory authority by implementing a discriminatory... Read More
340B Covered Entity and Contract Pharmacy Regulatory and Contract Support | Articles | Healthcare Litigation | Hospitals and Healthcare Systems | Medicare and Insurance Audits

Earlier this month, two telehealth bills intended to expand patient access to virtual healthcare were introduced to the United States Congress.  Each bill seeks to continue building upon the availability of certain telehealth services that existed... Read More
All types of single and multi-specialty medical practice groups | Articles | Behavioral Health Practitioners | Healthcare Practice Compliance | Hospitals and Healthcare Systems | Physicians and Medical Practices of all Specialties | Telehealth and Telemedicine

Providers should be aware of CMS’s recent aggressively restrictive stance on Medicare Advantage (“MA”) risk adjustment coding. In  U.S. ex rel. Teresa Ross v. Independent Health Association, et al. – a False Claims Act (“FCA”) case... Read More
All types of single and multi-specialty medical practice groups | Articles | Behavioral Health Practitioners | Dental Practices | Healthcare | Healthcare Law | Hospitals and Healthcare Systems | Medicare and Insurance Audits | Physicians and Medical Practices of all Specialties

Reporting to the National Practitioner Data Bank (“NPDB”) is required when certain adverse clinical privilege actions involving professional competence or conduct of physicians occur. Reports submitted in response to negative actions or findings... Read More
Articles | Healthcare | Healthcare Law | Healthcare Litigation | Healthcare Practice Compliance | Hospitals and Healthcare Systems

The U.S. Department of Health and Human Services (“HHS”) recently announced a clawback of funds disbursed by Health Resources and Services Administration (“HRSA”) under the Coronavirus Aid, Relief and Economic Security (“CARES”) Act.... Read More
Articles | Dispensing Physician Practices and Dispensing Physicians | Federal and State Fraud and Abuse Counseling | Healthcare | Healthcare Law | Healthcare Litigation | Healthcare Practice Compliance | Hospitals and Healthcare Systems | Medical Practice Representation | Professional Practice Representation

On April 20, 2022, the Department of Justice (DOJ) announced criminal charges against twenty-one (21) defendants in nine federal courts across the country for their roles in Coronavirus-related healthcare fraud schemes that resulted in more than... Read More
All types of single and multi-specialty medical practice groups | Articles | Federal and State Fraud and Abuse Counseling | Federal and State Fraud and Abuse Counseling | Healthcare | Healthcare Practice Compliance | Hospitals and Healthcare Systems | Medicare, Medicaid, and Other Commercial Payor Audits & Appeals | Physicians and Medical Practices of all Specialties | Telehealth and Telemedicine | Telehealth and Telemedicine | White Collar Defense and Government Investigation