Jul 7, 2025 | Client Alerts
Significant shifts in False Claims Act (“FCA”) enforcement were announced at the recent American Health Law Association (“AHLA”) Annual Meeting, as officials from the Department of Justice (“DOJ”) and Department of Health and Human Services (“HHS”) formally announced...
Jul 7, 2025 | Client Alerts
In light of recent trends, many pharmacies are considering using compliance consultants for PBM and governmental payor audits, often due to perceived cost savings compared to engaging legal counsel. While compliance consultants are valuable for routine compliance...
Apr 15, 2025 | Client Alerts
Over the past several months, we have seen a significant increase in audits and investigations targeting pharmacies for misrepresentations around prior authorization. In many of these audits, pharmacies are being accused of falsifying information or impersonating...
Apr 3, 2025 | Client Alerts
Receiving a subpoena from the Office of Inspector General (OIG) is a serious matter, often signaling a federal investigation into potential healthcare fraud or regulatory violations. These subpoenas require careful attention and a strategic response. As such, it is...
Mar 24, 2025 | Client Alerts
As healthcare providers look to streamline operations and improve efficiency, Management Service Organizations (“MSOs”) have become increasingly vital in helping medical practices, dental offices, and other healthcare entities manage non-clinical functions. MSOs...
