Blog

Scrutiny by the Federal Government of Hospital-Physician Financial Relationships Continues Unabated

On November 15, 2019, the Department of Justice (DOJ) announced a settlement in excess of $46 million with a number of California hospitals and affiliated medical practices. The basis for the action by the DOJ related to a variety of financial arrangements between the hospitals, and physicians and physician groups that are referral sources to the hospitals. DOJ alleged violations of both the Physician Self-Referral Law (Stark) and the Federal...

Private Equity Transactions for Medical Practices

https://www.youtube.com/watch?v=gEy5Loyag4A Part Two of a Three-part Healthcare Private Equity Video Series In this video, attorney Daniel B. Frier, Esq. discusses what is involved in a Private Equity transaction and how medical practices can prepare, including: [00:00:09] Preparing for a Private Equity transaction for Medical Practice [00:08:53] What is Involved in a Private Equity Transaction with a Medical Practice [00:17:55] Negotiating the Multiple      [00:19:55] How Payment Terms Work WATCH...

Breaking Up is Hard to Do: Separating from Your Employer Without the Drama Webinar Recording

https://www.youtube.com/watch?v=wI5dcTduQ5o For physicians, separating from an employer can present many potential issues. Knowing how to avoid common missteps can help minimize the impact on your business. In this recorded webinar, John E. Morrone, Esq., provides practical advice and discusses exiting employment contracts and re-entering private practice, including: Legal implications of exiting an employment contract Escaping the non-compete Managing non-solicitation provisions Preserving the physician-patient relationship If you are a physician with...

Pharmacy, Physician Dispenser, and Wholesaler ALERT: OIG’s Safe Harbor Proposed Rule Potentially Excludes Pharmacies, Physician Dispensers, and Wholesalers as Value Based Entity Participants

Value Based Care is the future of the United States healthcare system and the Office of the Inspector General (OIG) for the US Department of Health and Human Services is in full agreement. The OIG recently issued a Notice of Proposed Rulemaking that introduced updates to the Anti-Kickback Statute (AKS), significantly modernizing the regulatory landscape and encouraging the transition from fee-for-service reimbursement to a value-based model. The Proposed Rule aims...

Frier Levitt Saves Texas-Based Pharmacy over $1.6 Million in PBM Audit

Frier Levitt successfully saved over $1.6 Million for an independent pharmacy located in Texas against a desktop-audit conducted by a major Pharmacy Benefit Manager (PBM). The PBM claimed several different discrepancies, including inventory shortfalls, missing prescriptions, and failure to collect copays. The total amount of chargeback based on the alleged discrepancies was approximately $1.9 Million. Attorney Dae Y. Lee, Pharm.D., Esq., CPBS, conducted an extensive review of the alleged discrepancies...