Healthlawalliance.com

Healthcare Fraud Defense

WebPBMs and payors use artificial intelligence and data mining across medical and pharmacy claims to identify areas of potential inquiry. Among other areas, these inquiries typically …

Actived: 3 days ago

URL: https://www.healthlawalliance.com/practice-areas/healthcare-fraud-defense

Health Law Alliance

WebProtecting Providers Against Legal & Regulatory Threats. We help healthcare providers navigate challenges to their license and livelihood from insurance conglomerates, the …

Category: Health Go Health

Medicare Advantage Cuts to Increase PBM Pressures

WebJust last week, the federal government finalized additional cuts to Medicare Advantage reimbursement rates in 2025—rates that industry giants like United Health …

Category: Health Go Health

Potential Windows of Opportunity

WebHealth Law Alliance, specializing in PBM audit defense, highlights the potential benefits of discrepant PBM audits as early warnings for broader government investigations. The …

Category: Health Go Health

NYRx Transition May Increase Medicaid Program Risk

WebThe transition of Medicaid pharmacy benefit to NYRx in New York brings increased dispensing fees but also heightened audit and enforcement risks, with potential scrutiny …

Category: Health Go Health

Pharmacy Services

WebAt Health Law Alliance, we are dedicated to providing comprehensive legal services to pharmacies and pharmacists nationwide. Our experienced pharmacy lawyers deeply …

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HHS-OIG Prioritizes 2024 Pharmacy Audits

WebIn this case, HLA was able to persuade prosecutors not to file criminal charges against the pharmacy's owner, but a subsequent civil resolution still involved harsh penalties. It could …

Category: Health Go Health

Federal Investigation for OTC Cards is Expanding

WebGovernment’s Healthcare Fraud Investigation. At the time of this update, the federal government has filed criminal charges against numerous pharmacy owners and …

Category: Health Go Health

Government Investigations & Litigation- New

WebPractitioner Services. Industry consolidation places increasing pressure on physicians and mid-level practitioners. We support healthcare providers through an evolving landscape …

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Diana Yastrovskaya

WebDiana Yastrovskaya is a distinguished legal professional specializing in healthcare-related proceedings, for which she has been recognized as a "Rising Star." Fluent in Russian, …

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Business & Employment Litigation

WebPBMs and payors use artificial intelligence and data mining across medical and pharmacy claims to identify areas of potential inquiry. Among other areas, these inquiries typically …

Category: Medical Go Health

Off-Label Prescribing and Dispensing: Ozempic, Wegovy, and …

WebAnthony Mahajan delves into the intricacies of off-label prescribing and dispensing for medications such as Ozempic, Wegovy, and Rybelsus. Mahajan discusses legal …

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PBM Audit & Pharmacy Law Attorneys

WebCommonwealth of Pennsylvania v. Pharmacy & Owner. PBM audit uncovered $600,000 inventory shortfall in brand and generic medications. PBM referred "fraud" to …

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Semaglutide Compounding Pharmacies Subject to Increasing …

WebSemaglutide Compound. At the Health Law Alliance, we have written previously about risks associated with off-label prescribing and dispensing, including intense patient demand …

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Firm Overview & Capabilities

WebThe firm’s founding partner, Anthony Mahajan, has decades of legal experience in healthcare, having been employed by a National Law Journal Top 20-ranked …

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