Legal Insights

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

Address the increasing scrutiny telehealth providers face regarding potential fraud, waste, and abuse in virtual care. This article delivers expert insights into structuring telehealth practices to avoid fraud allegations, including strategies for compliance with the Anti-Kickback Statute, Stark Law, and other relevant regulations.

The American Relief Act, 2025, temporarily extends key Medicare telehealth flexibilities through March 31, 2025, preserving access to remote care for now but leaving providers and patients uncertain about the future. This update outlines what the extension covers, highlights permanent changes, and offers guidance to help providers prepare for potential disruptions.

During COVID-19, Medicare expanded telehealth access by waiving geographic restrictions, broadening provider eligibility, and covering more services. These temporary flexibilities are set to expire at the end of 2024, requiring providers to adjust to stricter pre-pandemic rules unless Congress intervenes.

Learn what to expect during DEA inspections and how to protect your practice with proactive preparation strategies.

Actionable steps to properly establish, document, and maintain these relationships, minimizing risks and enhancing compliance.

Top 10 list of common telehealth compliance mistakes, with practical advice on how to identify and correct each issue.

Discuss the DEA/HHS joint rule extending the prescribing flexibilities for controlled substances. Include: 1) an overview of the prescribing flexibilities that emerged during the COVID pandemic re: controlled substances; 2) the details of the proposed rule, and 3) what the rule means for providers.

Offer telehealth providers a practical guide to navigating billing and reimbursement challenges specific to virtual care. This article will delve into coding practices, reimbursement parity, and strategies to optimize revenue by understanding insurer requirements for telehealth.