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New York state law requires health facilities to report disciplinary action taken against medical professionals to New York State Health Department’s Office of Professional Medical Conduct (OPMC) and the state Board for Professional Medical Conduct (board). However,...
The government continues its focus on aggressive prosecution of medical professionals who are accused of healthcare fraud. The government often uses multiple agencies to move forward with an investigation, often including use of the Health Care Fraud Strike Force, a...
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...
The feds are aggressive in their pursuit and prosecution of Anti-Kickback Statute (AKS) violations. Recently, the Department of Justice (DOJ) prosecuted three pharmacy owners for their alleged role in a healthcare scheme that led to unnecessary prescriptions for...
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...
Private practices, hospitals and other healthcare facilities balance an enormous workload. Many of these professionals entered the healthcare field to help patients manage their health. They likely find themselves also balancing business needs and reviewing practices...
Specialty pharmacies help meet the medical needs of patients with complex diseases and health needs while also reducing total medical expenses. Continued growth in this marketplace highlights the need for these specialty pharmacies. Recent reports show the use of...
The United States Department of Justice (DOJ) recently announced criminal charges against the owner of a home health services business of over $100 million in healthcare fraud. The charges include money laundering, health care fraud and conspiracy to pay and receive...
The coronavirus pandemic has led to a boom in telehealth services. Patients can log online for everything from an initial consult to ongoing care appointments. But how long will it last? The use of telehealth services can offer an alternative to in-person care long...
The right merger and acquisition (M&A) deal can help position your pharmaceutical business for success. But how do business leaders know if a potential transaction is the right deal for their goals? Although often a bit of a gamble, there are steps you can take to...