Call : 646-859-3790
The Federal Trade Commission (FTC), U.S. Department of Justice Antitrust Division, and offices of state attorneys general along with the Canadian Competition Bureau, European Commission Directorate General for Competition, and U.K.’s Competition and Markets...
In a recent win for hospitals throughout the state, the New York Department of Financial services recently stated insurance providers cannot deny hospital claims based on “administrative reasons.” More specifically, the letter states that insurance provers cannot deny...
An investigation by your state medical board is a big deal. It can lead to steep fines and even a revocation of your medical license, making it impossible to continue your practice in that state. Unfortunately, this could just be the beginning. In some cases, an...
Lawmakers in New Jersey are working to reform the regulations surrounding hospice care in the state. Governor Phil Murphy has already singed one proposal into law and two additional proposals are currently under consideration. Lawmakers point to the fact that New...
The False Claims Act (FCA) allows others to initiate a claim on behalf of the government. If the claim moves forward, the government may choose to join. If it leads to a settlement or award, the individual who initiated the case gets a portion of the award. As a...
Those who have built not just a profession as a pharmacist, the business of the pharmacy as well will likely treat retirement differently compared to pharmacists who have chosen to work for a hospital or retail chain. Those who own their own pharmacy must also look to...
The COVID-19 vaccine is making its way throughout the community, but who gets the vaccine first? The answer to this question is not always clear and some hospital systems are finding themselves publicly chastised for failing to go in what others may view as the...
The United States Centers for Medicare and Medicaid Services (CMS) defines a Medicare overpayment as one that exceeds a regulation and statute properly payment amount. Additional issues arise if the feds can establish that the provider was aware of the overpayment....
The government has been very clear on its take on the current opioid crisis. It is coming down on medical professionals that do not follow regulations when prescribing these medications and pushing for serious penalties. In one recent case, the government was able to...
The government collected over $1.8 billion in Medicare and Medicaid fraud cases in 2017. The government collected these funds through a combination of criminal convictions and settlements. Medicare fraud settlements with the government accounted for over $27 million....
