Protecting The Rights Of Pharmacies And Pharmacists
With new federal regulations being added almost every day in the health care industry, pharmacies and dispensaries often run into compliance issues. When this happens, it is essential to get legal advice and representation from an experienced health care attorney.
At Rivas Goldstein, LLP, health care law is our sole focus. We help health care professionals and entities in your situation every day. If your business received a subpoena or civil investigative demand from the government or audits by PBMs (pharmacy benefit managers) such as Caremark, or if your office was raided by law enforcement, we will help you get through these difficult times and leave the problems in the past. Call our New York office at 800-761-5190 to set up an initial consultation.
Assisting Pharmacies And Pharmacists Under Investigation
Law enforcement and regulatory agencies regularly conduct investigations of pharmacies and dispensaries to uncover illegal activity such as fraud or abuse. The FBI, the Office of the Inspector General (OIG), the Medicaid Fraud Control Unit or Zone Program Integrity Contractors (ZPIC) often oversee these audits.
Dealing with these agencies requires opening the lines of communication to narrow the scope of the investigation and understand the issues of concern. At Rivas Goldstein, LLP, our health care lawyers have more than 50 years of combined experience working with health care regulatory agencies — and we know how they operate.
For example, we know that an investigation doesn’t have to put your business on hold. In some cases, a regulatory agency may seize records or documents during the audit. If your business has had documents taken, we can help you get this property back so that you can continue to operate your business even while the investigation continues.
Helping Pharmacies And Pharmacists Follow The Law
At Rivas Goldstein, LLP, we help our clients manage their businesses according to the law. We are trusted by pharmacies and pharmacists in the New York and New Jersey metropolitan area for help with health care law matters, including:
- Initial licensing
- Federal fraud and abuse law compliance, including the Stark law, Anti-Kickback Statute and others
- Medicare Part D compliance and reimbursement issues
- HIPAA compliance and business associate agreements
- Defense in audits and claim denials involving recovery audit contractors (RACs), Medicare, Medicaid and other third-party payors
- Respond to audits from PBMs and commercial carriers
- Other billing and reimbursement matters
Today, it is nearly impossible for pharmacies and pharmacists to understand the constantly changing regulatory landscape. Even business owners and medical professionals who have made a good-faith effort to comply with the laws can face severe penalties for violations. That is why working with an experienced health care attorney is so essential.