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CMS Tactics Used to Exclude Providers: How One Physician Can Sink the Whole Group

While some may still question whether it is true that "one bad apple can spoil the bunch," when it comes to doctors, group practices, and Medicare, this well-known adage is true. Surprisingly, there are instances when a single doctor's conduct, can result in dire consequences for the practice's Medicare privileges. Under the regulations governing revocation of Medicare privileges, the Centers for Medicare and Medicaid Services (CMS) can revoke Medicare privileges...

The Impact of DIR Fees on 340B Relationships Between Contract Pharmacies and Covered Entities

The impact of Direct and Indirect Remuneration ("DIR") fees on the specialty pharmacy industry cannot be overstated and has been widely reported in White Papers and industry news reports. However, the impact of DIR fees on the 340B sector is only now being realized. In the first of a series of articles, Frier Levitt explores the basics of DIR Fees as applied to 340B. The 340B Drug Discount Program ("340B")...