Fraud is a persistent issue in the history of U.S. healthcare. However, with the government’s decreased oversight and the implementation of telehealth billing codes and diagnostic abilities during the COVID-19 pandemic, new opportunities for... Read More
Administrative and Insurance Defense Law | Articles | Healthcare Practice Compliance | Medicare and Insurance Audits | News | Professional Practice Representation

Frier Levitt Partner Guillermo J. Beades was quoted in a Part B News article, “Be Careful About Upcoding; DOJ May Come After it as a False Claim” by Roy Edroso. “It’s very rare for audits to be converted to civil or criminal actions,”... Read More
Administrative and Insurance Defense Law | Articles | Federal and State Fraud and Abuse Counseling | Federal and State Fraud and Abuse Counseling | Healthcare Practice Compliance | Medicare and Insurance Audits | News | Payor Network Access and Defense of Network Terminations | White Collar Criminal Defense & Government Investigations | White Collar Defense and Government Investigation

Frier Levitt recently conducted a survey of non-payment by health insurers using a sample of various in-network healthcare providers to discover patterns of non-payment, underpayment, and recoupments by public and private payors. While the plurality... Read More
Administrative and Insurance Defense Law | All types of single and multi-specialty medical practice groups | Articles | Behavioral Health Practitioners | Dental Practices | Dispensing Physician Practices and Dispensing Physicians | Hospitals and Healthcare Systems | Laboratories | Medical Practice Representation | Medical Spas and Cosmetic Services | Medicare and Insurance Audits | News | Palliative Care, Hospice Care and Home Care | Physicians and Medical Practices of all Specialties | Professional Practice Representation

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

In part one of this article series, Frier Levitt dissected the May 9, 2022, Centers for Medicare and Medicaid Services (CMS) Final Rule (Final Rule) entitled, “Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare... Read More
340B Covered Entity and Contract Pharmacy Regulatory and Contract Support | Administrative and Insurance Defense Law | Antitrust Tools Available to Combat PBM Abuse of Pharmacies | Articles | Healthcare Law | Life Sciences

Two practices in Connecticut recently settled large six-figure lawsuits with federal and state agencies resolving allegations of improperly employing an individual who was excluded from all federal healthcare programs. In both instances, the... Read More
Administrative and Insurance Defense Law | Articles | Employment Matters | Federal and State Fraud and Abuse Counseling | Healthcare | Healthcare Law | Healthcare Practice Compliance | Medical Practice Representation | Medicare and Insurance Audits | Physicians and Medical Practices of all Specialties | Professional Practice Representation | White Collar Defense and Government Investigation

Recent CMS agency rulemaking has essentially eliminated pharmacy Direct and Indirect Remuneration (DIR) fees beginning in Plan Year 2024.  Providers “in the know,” however, are not cheering.  Our more technical article on the rulemaking is... Read More
340B Covered Entity and Contract Pharmacy Regulatory and Contract Support | Administrative and Insurance Defense Law | Antitrust Tools Available to Combat PBM Abuse of Pharmacies | Articles | Healthcare Law | Life Sciences

Frier Levitt Podiatrist-Attorney Lawrence Kobak, DPM, JD shares a must read Medical-Legal Checklist for 2021 in the latest issue of Podiatry Management. He encourages practitioners to start the year off right by reviewing things such as office... Read More
Administrative and Insurance Defense Law | Articles | Professional Practice Representation