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MAR
31
0

MDRXLaw 2017 Q1 Newsletter - Focus on PBM Audit Practices

We are pleased to announce the publication of our 2017 First Quarter Newsletter devoted to the issues facing pharmacies in connection with PBM audits. Please read it here.
  2982 Hits
2982 Hits
MAR
28
0

MFCU Takes Recoupment Actions Against Providers in Connection With Percentage-Based Billing Arrangements

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 arrangements. Notably, the recoupments actions ...
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  2420 Hits
2420 Hits
DEC
29
0

MEDICARE APPEALS BACKLOG MUST BE CLEARED, RULES COURT

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 hearing and decision within 90 d...
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  1894 Hits
1894 Hits
DEC
29
0

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 vendors will often attempt...
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  1867 Hits
1867 Hits
JUL
15
0

A GUIDE TO NY & NJ INTEGRATED CARE FACILITIES

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 ...
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  2563 Hits
2563 Hits
JUL
15
0

AGENCY PROFILE: MEDICARE FRAUD STRIKE FORCE

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 ...
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  3360 Hits
3360 Hits
JUN
28
0

Unprecedented National Health Care Fraud Crackdown

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 takedown in history....
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  2757 Hits
2757 Hits
MAY
16
0

U.S. ATTORNEY PROBES CONTRACTS BETWEEN DRUGMAKERS, PBMS.

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 article notes th...
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  2916 Hits
2916 Hits
MAR
25
0

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 devices dispensed at a ph...
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  2581 Hits
2581 Hits
FEB
26
0

Firm Represents a Co-Op in Sandy-Related HPD Grant

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 for past expe...
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  4024 Hits
4024 Hits
JAN
06
0

MDRXLaw sponsors the NY Chapter of the ACHE

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 the New York Metropolitan area. No other professional association is more essential for meet...
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  3778 Hits
3778 Hits
SEP
30
0

We Are Selected to SuperLawyers 2016

For the third year in a row, Kristina Giyaur and Alec Sauchik have been selected to the prestigious list of attorneys - SuperLawyers Rising Stars in Healthcare Law.  Super Lawyers is a rating service of outstanding lawyers from more than 70 practice areas who have attained a high-degree of peer recognition and professional achievemen...
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  3155 Hits
3155 Hits