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Some Of The Most Important Regulations In The Healthcare Industry

Any business that handles healthcare is in a unique position where they must blend business with providing medical care. The sensitive nature of the industry makes it one of the most regulated in the United States. It is vital for any healthcare operation to understand the laws that have been created to help guide them […] More...

Local Governments and Key Municipal Employees Can Prevent Liability Issues

No local government wants a citizen to suffer a serious injury due to an employee’s negligence. But, these types of accidents can happen because of a faulty sidewalk or unsafe playground equipment, or at a neighborhood event. It’s the job of local governments and municipal employees to address potential risks before harm comes to others. […] More...

4 Current Hospital Compliance Issues To Watch For

There are many laws your hospital must follow, but the Stark and HIPAA laws are two of the most important. The key to compliance with these laws and their related regulations is rigorous, thorough procedures. It isn’t enough to simply write your procedures in a handbook. You also have to train your doctors, support staff, […] More...

Noridian, CGS and the “60 Day Rule”

By: Jeffrey S. Baird, Esq. and Wayne H. van Halem, CFE, AHFI This is a reprint of the article that was published in last week’s Medtrade Monday. Medtrade Monday and the two authors decided to run this article a second time because of the importance of the topic. Note that Jeff and Wayne will present […] More...

Paying a Physician’s Expenses

By: Jeffrey S. Baird, Esq. A common question asked by pharmacies is whether they can subsidize a physician’s expenses. Examples include: May a pharmacy pay a physician’s out-of-pocket expenses to attend a continuing education conference? May a pharmacy purchase equipment (such as iPads) for the physician’s employees to use at the physician’s office? More...

Responding to State Board of Pharmacy Complaint

By: Jeffrey S. Baird, Esq. A pharmacy lives in the proverbial “glass house.” It is subject to scrutiny by the State Board of Pharmacy (“Board”), DEA, FDA, and PBMs and other third party payors. At the end of the day, the Board is the most important agency in the pharmacy’s life. Without a license, the […] More...

Utilization of a 1099 Marketing Rep: Two Recent Cases

By: Jeffrey S. Baird, Esq. In the real world, it is common for a business to outsource marketing to a marketing company. Unfortunately, what works in the real world often does not work in the pharmacy universe. An example of this has to do with marketing companies. If a marketing company generates patients for a […] More...

Competitive Bidding on Hiatus: Operating in the “Gap Period”

By: Jeffrey S. Baird, Esq. From Day 1 of competitive bidding, the DME industry sounded the alarm that the program would be unworkable. Industry stakeholders pointed out: “Low ball bidders” would submit bids in multiple CBAs…with no ability to take care of patients in those CBAs. “Low ball bidders” wanted to “scoop up as many […] More...

Another Win for DME Suppliers: TRO Against Recoupment of Money

By: Jeffrey S. Baird, Esq. In my July 9, 2018 Medtrade Monday article, I discussed the Family Rehab, Inc. v. Azar case in which (i) the 5th Circuit Court of Appeals ruled that the Federal District Court (the trial court) had jurisdiction to grant a Temporary Restraining Order (“TRO”) and Temporary Injunction, if the facts […] More...

5 Times Your Medical Practice May Need A Healthcare Attorney

If you run a medical practice, you may think you only need a healthcare attorney if you are faced with a lawsuit. Not only do healthcare attorneys offer you legal representation, they also help with your operations. These professionals can guide you in what accreditation certifications make you stand out and what standards you must […] More...