On October 5, 2021, the U.S. Department of Health and Human Services, Office of the Inspector General (“OIG”), published an Advisory Opinion (AO# 21-14) regarding a proposal to extend an existing discount program for chiropractic patients to... Read More
All types of single and multi-specialty medical practice groups | Blogs & Articles | Healthcare | Healthcare Law | Healthcare Practice Compliance | Medicare and Insurance Audits | Physicians and Medical Practices of all Specialties | White Collar Defense and Government Investigation

The pandemic exposed, among other things, some of the shortcomings facing long-term care facilities. Being well-aware of the persistent issues long-term care facilities have with resources, the federal government nevertheless pushed for... Read More
Blogs & Articles | Healthcare | Healthcare Law | Healthcare Practice Compliance | Palliative Care, Hospice Care and Home Care | Skilled Nursing Facilities and Long-Term | Value Based Care

A national Pharmacy Benefit Manager (PBM) has recently issued a letter demanding return of overpayments to a number of independent pharmacies for claims submitted under Medicare’s Limited Income Newly Eligible Transition Program (LINET Program). ... Read More
Blogs & Articles | Community, Retail Pharmacies | Defending Pharmacies in PBM Audits | Life Sciences | Pharmacy Law

Earlier this week, the Department of Justice announced that a federal grand jury in New Jersey returned a superseding indictment charging Creaghan Harry, of Florida, for his alleged role in orchestrating an illegal kickback scheme that caused the... Read More
Blogs & Articles | Healthcare | Healthcare Law | Healthcare Practice Compliance | Physicians and Medical Practices of all Specialties | Telehealth and Telemedicine | White Collar Defense and Government Investigation

Palliative care is specialized medical care for people living with a serious illness, such as cancer or heart failure. Patients may receive medical care aimed at providing relief from their symptoms and improving their quality of life, while also... Read More
Blogs & Articles | Healthcare | Healthcare Law | Managed Care Negotiations and Strategies | Medicare and Insurance Audits | Palliative Care, Hospice Care and Home Care | Professional Practice Representation | Telehealth and Telemedicine

As the nation reels from the heartbreaking COVID-19 pandemic, scrutiny of Skilled Nursing Facilities and Long-Term Care facilities is all but certain to continue. Industry leaders and recent data suggests providers anticipate enhanced oversight from... Read More
Blogs & Articles | COVID-19 Resources | Healthcare | Healthcare Law | Healthcare Litigation | Healthcare Practice Compliance | Managed Care Negotiations and Strategies | Skilled Nursing Facilities and Long-Term | Value Based Care

A Texas husband and wife dentist team recently reached an agreement with the United States Department of Justice (“DOJ”) to pay $3.1 Million to resolve allegations that they violated the False Claims Act (“FCA”) by defrauding the Texas... Read More
Blogs & Articles | Dental Practices | Healthcare | Healthcare Law | Medicare, Medicaid, and Other Commercial Payor Audits & Appeals | White Collar Criminal Defense & Government Investigations

On April 26, 2021 the Office of Inspector General (“OIG”) in the U.S. Department of Health and Human Services (“HHS”) issued a new Advisory Opinion Letter providing its analysis as to whether a “Proposed Arrangement” involving an... Read More
All types of single and multi-specialty medical practice groups | Ambulatory Care Facility Formation & Representation | Blogs & Articles | Healthcare | Healthcare Law | Healthcare Litigation | Healthcare Practice Compliance | Value Based Care

In a prior article, we addressed mandatory exclusions from federally funded health care programs for certain criminal convictions, and the importance of "thinking globally" while resolving a criminal investigation. Put another way, collateral... Read More
Blogs & Articles | Healthcare | Healthcare Law | Regulatory Compliance, including FDA, DEA and HIPAA | White Collar Defense and Government Investigation

Providers enrolled in Medicare and/or Medicaid are aware of the myriad of rules associated with coverage for services and the submission of claims, but they are sometimes surprised to learn that neglecting to update their enrollment status and... Read More
All types of single and multi-specialty medical practice groups | Blogs & Articles | Community, Retail Pharmacies | Healthcare | Life Sciences | Medicare, Medicaid, and Other Commercial Payor Audits & Appeals | Pharmacy Law