Payment Suspensions: Why Prompt, Accurate, and Complete Audit Responses are Crucial to Maintaining your Pharmacy Cash Flow. Did you know that your PBM contracts allow for the immediate suspension of your network participation status if the PBM believes you have engaged in or are engaging in any number of possible contract violations? This includes payment …
Boesen & Snow Law recently assisted an independent pharmacy facing a significant clawback in excess of $300,000 related to a Generic Effective Rate Reimbursement true-up by their PSAO on behalf of a major PBM. Boesen & Snow was able to contest the clawback on behalf of the client and after reviewing the specifics of the …
The past weeks have left medical providers and health care professionals at risk in more ways than one. In addition to their exposure to contagion, our vital workers may be left exposed legally. Currently, medical providers are working under a patchwork of protections. The result? Ongoing uncertainty and potential for catastrophic and expensive legal suits. …
Continue reading “What medical professionals should know about liability during a pandemic”
A physician’s duty is to their patient. While this is true, medical professionals have many other responsibilities as well. There are hospital and clinic rules that you must follow. You must adhere to state and national regulations, and you have ethical obligations to uphold. Your medical license comes with strings attached. In your pursuit of …
Continue reading “The problem and potential consequences of upcoding”
Buying an existing pharmacy is usually easier and less expensive than starting one from scratch, assuming you do the right planning, of course. But if you are already familiar with the pharmacy business, you know it will be simple. Early on, you will want to assemble a team to advise you on tentative research to …
Continue reading “Buying a pharmacy is major undertaking legally and otherwise”
You spent years of your life earning your professional license. After all the education and experience you earned to receive your degree, you want to make sure you do everything you can to defend your right to keep a license. If an accident, error, or even a complaint occurs, you may need to be prepared …
Continue reading “Helpful tips in defending your professional license”
Accusations of misconduct can be startling. Administrative hearings and consume your time and energy while you fight to protect your license, reputation and professional career. The stakes can be enormous when you are a doctor. But there is a process to defend yourself before state regulators and fight to keep caring for patients. The Arizona …
Continue reading “How can I defend my medical license from a misconduct complaint?”
www.covid19lawfirm.com Boesen & Snow is working with our clients regarding common pharmaceutical supply chain questions, pharmacy operations issues, and business continuity plans related to COVID-19. Please contact our attorneys about COVID-19 and your legal issues. Matters with which we are already engaged include: Properly documenting the usage of override codes for emergency fills (overuse will …
Continue reading “BOESEN & SNOW HEALTH LAW SOLUTIONS FOR COVID-19 MATTERS”
HIPAA is almost 25 years old, and articles have begun looking at its impact. Lawmakers first enacted the landmark law in 1996, the year before the invention of the DVD. Aiming for security and privacy in U.S. health care, HIPAA began in the era of mostly paper records. Later updates, especially HITECH (Health Information Technology …
Continue reading “Lawmakers, providers and patients review HIPAA and HITECH’s legacy”
Arizona saw nearly 80,000 patient records breached in the first half of 2019 alone. Despite everything health care professionals do to lock up patient information, some experts say data safety is in crisis. In the future, more people will likely get all the information they need when they need it. But more points of access …
Continue reading “What counts as a patient information breach?”