Healthcare Law Archives - Federal Lawyer
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Does a Subpoena Have to Be Served in Person?

Being served with a subpoena immediately leaves you with lots of questions, and the subpoena itself provides very few answers. It also provides you with very little time to get your bearings and make the decisions you need to make in order to protect yourself. If you received your subpoena...

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4 Common Mistakes When Creating a Corrective Action Plan

Healthcare companies that have been found to be in noncompliance with their billing systems are often required to create and implement a Corrective Action Plan in order to continue to work with the private insurer or the public healthcare program that initiated the investigation. The fact that it is up...

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The U.S. Supreme Court Just Overturned Two Doctors’ Opioid Convictions. What Does This Mean for You?

In a notable decision for doctors who prescribe opioid medications to their patients, the U.S. Supreme Court recently overturned the convictions of two doctors who were charged with illegally dispensing opioids—potentially filling hundreds of thousands of unlawful prescriptions between 2011 and 2015. The Supreme Court's decision in Ruan v. United...

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U.S. Department of Justice (DOJ) Targets Podiatrists for Alleged Foot Bath Schemes

The U.S. Department of Justice (DOJ) has recently targeted multiple podiatrists suspected of defrauding Medicare and other healthcare benefit programs. Each case has involved allegations of operating an unlawful “foot bath scheme” with medically unnecessary treatments that are not eligible for reimbursement. It seems that podiatrists are now squarely within...

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CMS and DOJ Target Healthcare Providers Offering Sanexas Pain Management and Treatment Services

The Centers for Medicare and Medicaid Services (CMS) and U.S. Department of Justice (DOJ) are targeting healthcare providers that offer Sanexas pain management and treatment services to their patients. Targeted healthcare providers face substantial risks—including the risk of recoupment liability, Medicare exclusion, criminal fines, and even federal imprisonment in some...

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Florida Lawmakers Attempt to Pass Legislation Regulating Pharmacy Benefit Managers

In recent years, the role of pharmacy benefit managers (PBMs) occupy has grown significantly. However, as their role—and power that comes along with it—grows, the regulation of PBMs has been slow to follow. In fact, PBMs are not regulated on the federal level, and many states stay out of the...

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Lack of Understanding of Healthcare Rules Exposes Labs and Other COVID-19 Testing Facilities to Federal Fraud Investigations

When the U.S. Centers for Disease Control and Prevention (CDC) rolled out the first COVID-19 test in February 2020, labs and other healthcare providers rushed to make the test available to as many people as possible. Federal authorities understood that the urgency of the situation called for leniency with regard...

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COVID-19 Testing Fraud Spurs the Largest Avalanche of Healthcare Fraud Investigations in U.S. History

When the COVID-19 pandemic began, it was only a matter of time until people seeking to profit from the pandemic started getting into trouble. First it was price gouging for masks, personal protective equipment (PPE), toilet paper, and other necessities. Then it was fraud under the Paycheck Protection Program (PPP)...

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Doctor Who Lost Job for Allegedly Prescribing Hydroxychloroquine and Ivermectin Investigated for COVID-19 Fraud

A doctor in Pennsylvania has lost her job and appears to be the target of a COVID-19 fraud investigation following allegations that she improperly provided off-label hydroxychloroquine and ivermectin prescriptions to patients exhibiting symptoms of SARS-CoV-2. According to reports, the doctor allegedly received referrals of patients who showed interest in...

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Recent FBI Search of COVID Testing Labs Highlights Ongoing Concerns for Providers

The Federal Bureau of Investigation is executing search warrants at COVID testing labs across the country. This enforcement action is only the most recent in a long line of investigations targeting COVID-19 fraud. What these Investigation Mean for Labs & Lab Owners The COVID-19 pandemic caught the nation off-guard. Initially,...

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