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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...
United States Department of Health and Human Services (HHS) reports that healthcare breaches increased by over 55% in 2020. This translates to a jump from a reported 386 breaches in 2019 to 599 in 2020. The vast majority of these incidents were the result of hacking...
A federal court recently ordered Tenet Healthcare, a multi-national investor owned healthcare services company based out of Dallas, Texas, to pay $10 million to two cardiologists. The ruling stems from a whistleblower case. In this case, the two cardiologists accused...
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 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...