We Represent 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.
If your business received a subpoena or civil investigative demand from the government, or audits by PBM’s Pharmacy Benefit Managers such as Caremark, or your office was raided by law enforcement, we will help you get through these difficult times and leave the problems in the past.
Assisting Pharmacies And Pharmacists Under Investigation
Law enforcement and regulatory agencies regularly conduct investigations of pharmacies and dispensaries in an effort to uncover illegal activity such as fraud or abuse. The audits are often overseen by the FBI, the Office of the Inspector General (OIG), the Medicaid Fraud Control Unit or by Zone Program Integrity Contractors (ZPIC).
Dealing with these agencies requires opening the lines of communication in order to narrow the scope of the investigation and truly 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. If any records or documents were seized during the audit, we can help you obtain this property so that you can continue to operate your business even while the investigation continues.
Helping Pharmacies And Pharmacists Comply With 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 assistance 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 Contractor (RAC), Medicare, Medicaid and other third-party payors
- Respond to audits from PMB’s and commercial carriers
- Other billing and reimbursement matters
Today, it is nearly impossible for pharmacies and pharmacists to understand the constantly changing regulatory landscape they face. 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 important.