Policy & Medicine

Telemedicine Fraud Scheme Results in Civil and Criminal Enforcement Actions Against…

Thomas Sullivan Sep 20, 2021 0

On August 24, 2021, the United States Department of Justice announced civil and criminal enforcement actions against several medical practitioners for signing off on illegitimate orders for medical braces and cancer genetic testing promoted by telemarketers. Medicare beneficiaries at the center of the scheme were “bombarded” by calls from an…

Policy and Medicine Compliance Update — September 2021…

Thomas Sullivan Sep 11, 2021 0

When Money and Doritos Don’t Suffice – The…

Thomas Sullivan Oct 12, 2019 0

Telemedicine Fraud Scheme Results in Civil and Criminal…

Alternative Drug Pricing Legislation Introduced by Moderate…

Centrist Democrats in the United States House of Representatives are working on introducing an alternate approach to drug pricing legislation than what is outlined in the wide-ranging H.R. 3 bill.…

CEO and CFO of SpineFrontier Charged in Bribery and Money…

On September 7, 2021, Kingsley R. Chin, MD, CEO of SpineFrontier, Inc.; Aditya Humad, CFO of SpineFrontier, Inc.; and SpineFrontier, Inc., were arrested and indicted on one count of conspiracy to…

Minnesota Updates Its Gift Ban to Include Certain Pharmacists

Earlier this year, Minnesota quietly updated its gift ban statute to include certain pharmacists. According to the new statute, pharmacists are considered practitioners if they prescribe…

Biden Administration Announces Drug Pricing Plan

On September 9, 2021, the United States Department of Health and Human Services (HHS) issued its Comprehensive Plan for Addressing High Drug Prices, a report in response to President Joe Biden’s…

Amended Complaint Filed in Abbott Labs Anti-Kickback Case

On August 19, 2021, Everest Principals filed an amended complaint on behalf of the United States government and several states (including California, Florida, Maryland, New York, Texas, and Virginia)…

Policy and Medicine Compliance Update — September 2021…

Policy and Medicine Compliance Update is our monthly compliance publication designed to help compliance professionals go in depth in issues and stay up to date on the latest trends. We encourage you…

Numerof Releases Sixth Annual State of Population Health Survey…

Earlier this year, Numerof & Associates wrote the sixth annual State of Population Health Survey report, providing a comprehensive look at the progress of the healthcare industry in integrating…

Grassley and Bipartisan Group of Senators Introduce False Claims…

Earlier this year, a bipartisan group of senators led by Senator Chuck Grassley, introduced the False Claims Amendments Act of 2021 in an attempt to “beef up” the Act and help the government continue…

Many Groups Call on Congress to Expand Telehealth Flexibilities

More than 400 advocacy groups are calling for Congress to act quickly to permanently expand flexibilities for telehealth that could go away after the end of the COVID-19 public health emergency…

Woodcock Calls for HHS OIG Investigation Into Aduhelm Approval

After the controversial FDA approval of Aduhelm, Biogen’s Alzheimer’s disease therapy, the agency’s acting commissioner is calling for an investigation by the HHS Office of Inspector General (OIG).…

CMS Releases CY 2022 Outpatient Prospective Payment System…

On July 19, 2021, the Centers for Medicare & Medicaid Services (CMS) released the calendar year (CY) 2022 Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems…