DOJ & HHS target personal healthcare fraud risks; escalating enforcement & liability for professionals.

DOJ's 2025 Troy Medicare case highlights AI misuse in healthcare, stressing compliance in AI applications.

Explore AI in healthcare: Balance innovation with HIPAA compliance, avoid public model privacy risks, embrace private deployments, and build strong governance. Contact us for expert guidance.

Explore AI in healthcare: Balance innovation with HIPAA compliance, avoid public model privacy risks, embrace private deployments, and build strong governance. Contact us for expert guidance.

Safeguard patient data in AI-driven healthcare: Explore HIPAA encryption essentials, real cases like M.D. Anderson, and 6 steps for compliance. Expert guide for providers.

Healthcare AI in M&A requires thorough due diligence on compliance, data privacy, vendor contracts, and state regulations to identify liabilities and ensure HIPAA compliance.

Learn how AI is reshaping healthcare claims, impacting provider payments and audits, and the strategic responses required.

Civilian contractors need DoD sponsorship for security clearance, undergo background checks, and can appeal denials; clearances are vital for defense work.

Attorney-client privilege protects healthcare providers' legal communications but can be waived by forwarding emails, using public AI tools, or sharing without caution.

Out-of-network providers can use ADR and mediation to resolve insurer disputes privately, efficiently, and cost-effectively while maintaining independence.

NY’s new Certificate of Need rules ease regulatory burdens for small healthcare providers, raising thresholds and expediting routine facility improvements

$1.9M pharmacy audit reduced to $200K. Our team uses AI-enabled analysis and decades of experience to fight PBM audits and protect your pharmacy's bottom line.

The February 2024 versions of SF 85, 85P, 85P-S, and 86 are now required for all background investigations. Earlier forms are no longer accepted by DCSA.

New BIS Affiliates Rule: Foreign entities 50%+ owned by listed parties now face automatic export restrictions. Ownership, not just listing, triggers controls.

Omnicare’s Bankruptcy After a Near-$1b FCA Judgment: What Pharmacies, LTC Operators, and PBMs Need To Do Now

GLP-1 weight-loss drugs like semaglutide and tirzepatide face increased regulatory and legal scrutiny. Providers must follow compliance, use FDA-approved drugs, document thoroughly, and ensure HIPAA adherence to minimize liability.

Learn how NY Medicaid providers can use OMIG audit protocols to stay compliant, reduce audit risk, and protect against repayment demands.

MDRXLaw secures $7 million arbitration victory, setting a precedent for pharmacy reimbursement fairness.

2026 CMS Rule updates RPM billing, enhancing provider flexibility and patient access.

Pharmacies risk legal exposure by using consultants for audits. Attorney-client privilege, legal strategy, and representation are critical in PBM investigations.

DOJ and HHS relaunch FCA task force, signaling stricter, proactive healthcare fraud enforcement—Medicare Advantage, kickbacks, and data analytics in focus.

Pharmacies face rising audits and legal risks for false prior authorizations. Protect now.

NY pharmacies can use CoverMyMeds for Medicaid ePAs starting summer 2025. Learn how to stay compliant and streamline approvals with expert legal guidance.

Proudly recognized in the Chambers Spotlight New York 2025 Guide, MDRXLaw continues to set the standard for excellence in healthcare law.