Dec 20, 2023 | Client Alerts
Recently, home infusion pharmacies have faced formidable challenges stemming from underpayment, untimely payment, and non-payment by major medical plans for infusion therapies. This pervasive issue affects both in-network and out-of-network providers across the...
Dec 8, 2023 | Client Alerts
MEDICAID/OMIG Compliance Policies and Reviews Are More Critical Then Ever Beginning July 2023, and very actively since then, NY Medicaid, through OMIG, has been conducting compliance program reviews to determine if required providers had adopted, implemented, and...
Nov 8, 2023 | Client Alerts
In the recent weeks, the New York State Office of the Medicaid Inspector General (OMIG) has conducted numerous unannounced on-site pharmacy visits as part of their new investigative initiative. At the time of the on-site audit, a letter referring to a Credential...
Nov 1, 2023 | Client Alerts
In February 2023, New York State proposed Senate Bill S4007, which aims to introduce regulatory oversight of certain healthcare transactions involving private equity firms. The proposed law would apply to various healthcare entities, including physician...
Oct 27, 2023 | Client Alerts
In the world of healthcare, where precision and compliance are paramount, pharmacies stand as the vital link between physicians and the patients they serve. Yet, in the complex web of regulations, changing laws, and evolving industry standards, pharmacies must...
