Legal Insights

Receiving an OIG subpoena means your healthcare practice is under federal investigation, typically for healthcare fraud or regulatory violations. Understanding how to respond to an OIG subpoena effectively is crucial to protecting your practice.

New York doctor indicted in Louisiana for prescribing abortion pills via telehealth, raising legal battles over state laws, shield protections, and provider risks post-Dobbs.

This article outlines the details of the three new telehealth rules promulgated by the Drug Enforcement Agency (DEA) and their impact on telehealth providers.

In the article we outline the basics of RPM billing and coding, including which RPM services are billable by payor, the unique fraud risks associated with RPM, and best practices for providers to ensure their billing/coding procedures for RPM services are legally compliant.

Express Scripts is using aggressive audits and investigations to recoup the dollar value of test claims that were never paid. Don't let ESI intimidate you—contact us today for effective audit defense.

Learn how to obtain and protect your DEA registration with our step-by-step guide, updated for 2025 telehealth rules and audit trends—plus proven strategies to resolve denials and maintain compliance. Designed for healthcare providers by legal experts specializing in regulatory defense.

Explore the complexities and barriers telehealth providers face when offering services across state lines. This article will provide expert guidance on managing licensing requirements, navigating compacts, and understanding the legal limitations of interstate telehealth.

PBM audits extend beyond paperwork, assessing pharmacy operations, staff preparedness, SOPs, and compliance culture. Proactive strategies, training, and legal expertise ensure audit readiness.

Navigate 2025 PBM audits confidently: Key triggers, trends, and preparation tips to protect your pharmacy.