Healthcare is part of our firm's DNA. We add real value to our clients' business through our in-depth understanding of the key legal, regulatory and practice-related issues.

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Experienced, dedicated and well-tested litigation attorneys who enjoy the challenges of the courtroom

DEDICATED
LITIGATORS

When you need attorneys who know and understand your business, not just the letter of the law

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We are a law firm with an intense focus on solving our clients' most important problems. While our primary concentration is on attending to unique and complicated needs of clients in the healthcare industry, our expertise in commercial litigation and business and corporate law position us to deliver exceptional outcomes to a wide range of individual and corporate clients.

News and Updates

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Roche's Test Strips Lawsuit Targets Wholesalers,

On March 28, 2017, Roche Diagnostics Corp. and Roche Diabetes Care, Inc. filed a lawsuit in the U.S. District Court for the Southern District of Indiana, entitled Roche Diagnostics Corp. et al. v. Binson's Hospital Supplies, Inc., et al., ​Docket No. 17-cv-0949 (LJM)(DML). The Indianapolis-based subsidiaries of the . . .

In News and Updates

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TOWARDS INCREASED PBM TRANSPARENCY

Is Increased PBM Transparency on the Way?

Newly proposed Federal legislation would increase PBM transparency regarding aggregate rebates and "spread pricing".An oft-controversial issue, independent pharmacy associations have long lobbied for greater disclosure of the rebates that PBMs receive from drug companies, which . . .

In News and Updates

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INSURANCE PLAN NOT PERMITTED TO “CROSS-PLAN”

A Federal District Court in Minneapolis has issued a highly favorable decision for physicians and healthcare providers on the limits of an insurance plan's ability to recoup.  Specifically, the court ruled that insurers can only recoup against providers from the same health plan that the alleged overpayment was issued . . .

In News and Updates

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MDRXLaw 2017 Q1 Newsletter - Focus on PBM

We are pleased to announce the publication of our 2017 First Quarter Newsletter devoted to the issues facing pharmacies in connection with PBM audits.

In News and Updates

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MFCU Takes Recoupment Actions Against Providers

Calling the attention of every New York Medicaid provider reimbursing its billing/collection agents on a percentage basis, the New York State Medicaid Fraud Control Unit (MFCU) has recently sent out recoupment letters demanding repayments of Medicaid funds paid to billing companies under fee-splitting . . .

In News and Updates

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MEDICARE APPEALS BACKLOG MUST BE CLEARED,

In a groundbreaking decision addressing one of the most pressing issues currently faced by Medicare providers, the U.S. District Court for the District of Columbia ordered CMS to clear the lengthy backlog of Medicare appeals at the administrative law judge (ALJ) level.

Under the Medicare Act, CMS must provide an ALJ . . .

In News and Updates

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PROTECTING ACCESS TO PHI

As providers continue to rely on software vendors to maintain protected health information ("PHI"), a well-drafted business associate agreement ("BAA") becomes increasingly important. The BAA will set forth the obligations between providers and business associates such as software vendors with respect to the PHI.

Software . . .

In Healthcare Publications

New regulations governing integrated care are affording health care providers and facility operators a cost-effective opportunity to expand the range of treatment services they offer. As is true in the early stages of any significant regulatory shift, it is vital for providers and operators to stay aware of the complex regulatory developments that affect integrated care facilities.

New York and New Jersey recently adopted facility models . . .

In News and Updates

This is the first article in an educational series to appear on the MDRXLaw Blog, profiling various regulatory and law enforcement agencies and entities relevant to health care providers. Given the number of agencies and entities having jurisdiction over health care providers, the individual role played by each can often be unclear. This post will profile the Medicare Fraud Strike Force, an interagency law enforcement collaboration.

In . . .

In News and Updates

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Unprecedented National Health Care Fraud

NEWS BRIEF: Unprecedented National Health Care Fraud Crackdown; 301 Individuals Charged; $900 Million in False Billing Alleged

The joint DOJ-HHS Medicare Fraud Strike Force and twenty-three state Medicaid Fraud Control Units executed an unprecedented nationwide sweep earlier this week, announced as the largest health care fraud . . .

In News and Updates

U.S. ATTORNEY PROBES CONTRACTS BETWEEN DRUGMAKERS,

According to Reuters, the U.S. Attorney's Office for the Southern District of New York is investigating links between drugmakers and companies that manage prescription benefits. In at least one instance, the U.S. Attorney is investigating contracts with, services from and payments made to PBMs in connection with certain drugs.

The . . .

In News and Updates

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Medical practices, urgent care centers, and other healthcare facilities often employ clinical practitioners, such as physician assistants or nurse practitioners, who frequently work over 40 hours per week.  Whether these employees need to be paid overtime wages is a question our clients frequently ask us in . . .

In Compliance

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E-script Requirements Going Into Effect

Effective March 27, 2016, a new law will require New York State prescribers to issue prescriptions electronically directly to a pharmacy, with limited exceptions. The new law requires electronic prescribing for all types of medications (controlled substances and non-controlled substances) and for syringes and other medical . . .

In News and Updates

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Firm Represents a Co-Op in Sandy-Related

The firm has successfully completed its representation of a 157-unit co-op corporation in southern Brooklyn, which was severely damaged during Hurricane Sandy, in connection with closing on an HPD Build-It-Back recovery grant.  The effort led by Alec Sauchik, Esq. culminated in the HPD reimbursing the building . . .

In News and Updates

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Abbott Issues a New Round of Subpoenas to

​Pharmacies and pharmacists across the country are receiving subpoenas in a federal case filed in the Eastern District of New York.  In this case, a manufacturer of diabetic test strips, Abbott Laboratories, is suing distributors and pharmacies accusing them of importing and selling diabetic test strips intended . . .

In Pharmacy Law

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Medicare Appeals - New Developments, Old

Office of Medicare Hearings and Appeals (OMHA) recently created a new website to facilitate monitoring of ALJ appeals. Physicians, DME suppliers & other providers can now check on the status of filed Medicare reimbursement appeals, find useful documentation as well as other information pertinent to the appeal.

OMHA . . .

In Medicare and Medicaid

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MDRXLaw is proud to announce its sponsorship of the Healthcare Leaders of New York, the New York chapter of the American College of Healthcare Executives.

HLNY represents professionals who manage the business affairs of healthcare organizations throughout . . .

In News and Updates

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MEANINGFUL USE AUDIT: HOW CAN A PRACTICE

While the stated goals of meaningful use compliance include terms such as empowerment, improvement and efficiency, for many participating physicians the possibility of a meaningful use audit just adds another level of anxiety to the already stressful and increasingly time-consuming burden of administrating a medical practice . . .

In Medicare and Medicaid

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THE INDEPENDENT PHARMACY’S GUIDE TO SURVIVING

Nothing is as critical to the economic health of an independent pharmacy as successfully resolving inevitable audits by Pharmacy Benefits Managers ("PBMs"). While the PBM concept originated as a measure to cut back on fraud, waste and abuse, the current role played by a PBM can often be perceived as antagonistic to the interests . . .

In Audits & Investigations

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The New York State Office of Medicaid Inspector General ("OMIG") has long required Medicaid providers to implement compliance programs as a condition of enrollment with Medicaid. However, now under Federal law, practitioners, regardless of the size of their practice, will have to develop a comprehensive compliance program. . . .

In Compliance

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