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
Healthcare | Healthcare Law | White Collar Criminal Defense & Government Investigations | White Collar Defense and Government Investigation

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
Articles | Healthcare | Healthcare Law | White Collar Defense and Government Investigation

Earlier this week the Second Circuit affirmed a lower court’s holding which found that drug manufacturer Pfizer Inc.’s practice of providing copay assistance to Medicare beneficiaries violated the Federal Anti-Kickback Statute (“AKS”).... Read More
Articles | Federal and State Fraud and Abuse Counseling | Federal and State Fraud and Abuse Counseling | Healthcare Practice Compliance | Medical Practice Representation | Professional Practice Representation | White Collar Criminal Defense & Government Investigations | White Collar Defense and Government Investigation

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

On July 20, 2022, the Office of Inspector General (OIG) issued a Special Fraud Alert warning practitioners to exercise caution when entering into certain telehealth arrangements. The Alert references the many recent investigations of telemedicine... Read More
Articles | Healthcare | Healthcare Law | Pharmacy Law | Telehealth and Telemedicine | Telehealth and Telemedicine | White Collar Criminal Defense & Government Investigations | White Collar Defense and Government Investigation

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

According to the DOJ’s indictment, Ms. Lavache prescribed DME for Medicare beneficiaries without conducting any consultations with the said beneficiaries. As a result, she allegedly caused the submission of false claims to Medicare totaling... Read More
All types of single and multi-specialty medical practice groups | Articles | Behavioral Health Practitioners | Federal and State Fraud and Abuse Counseling | Healthcare Practice Compliance | Medical Practice Representation | Physicians and Medical Practices of all Specialties | Professional Practice Representation | Provider Relationship | Telehealth and Telemedicine | Telehealth and Telemedicine | White Collar Criminal Defense & Government Investigations | White Collar Defense and Government Investigation

Earlier this week, the U.S. Supreme Court ruled that to secure convictions under the federal Controlled Substances Act (“CSA”) for excessive prescribing of controlled substances, including opioids, prosecutors must prove beyond a reasonable... Read More
All types of single and multi-specialty medical practice groups | Articles | Behavioral Health Practitioners | Dispensing Physician Practices and Dispensing Physicians | Healthcare | Healthcare Law | Healthcare Practice Compliance | Pain Management Compliance | Physician Dispensing | Physicians and Medical Practices of all Specialties | Professional Practice Representation | Provider Relationship | White Collar Defense and Government Investigation

Earlier this year, six medical offices and surgery centers agreed to pay approximately $7.5 million to resolve allegations that they violated the False Claims Act by billing federal programs for acupuncture procedures which were not reimbursable by... Read More
All types of single and multi-specialty medical practice groups | Articles | Healthcare | Healthcare Law | Hospitals and Healthcare Systems | Medical Practice Representation

The healthcare industry in general, and compounding pharmacies in particular, have, over the last several years, faced increased government scrutiny into their business practices, which has corresponded with unrelenting enforcement actions. Though... Read More
Articles | Life Sciences | Pharmacy Law | Traditional Compounding Pharmacies (503A) | White Collar Defense and Government Investigation