By Jessica Woodrow, Esq.Email Jessica On August 26, 2021, the New York State Department of Health’s Public Health and Health Planning Council in Albany voted to amend the Official Compilation of Codes, Rules and Regulations of the State of New York (NYCRR), significantly expanding the emergency Covid-19 vaccination mandate previously announced by former Governor Andrew […]
Continue reading…New Jersey District Court Declares Cross-Plan Offsetting a Violation of ERISA
By David A. Zarett, Esq.Email David It has become commonplace for physicians and medical practices to face audits and payment reviews by commercial health insurers and third-party administrators (“TPAs”) under an ERISA plan. If an overpayment is identified, it is not unusual for the carrier or TPA to recoup the funds allegedly owing. One of […]
Continue reading…New Workplace Law to Protect from Infectious Disease Spread
By Carla Hogan, Esq.Email Carla As many return back to the workplace upon getting vaccinated, efforts are required to ensure we continue to guard against the infectious diseases spreading in the workplace. The recently enacted NY HERO Act guides workplaces on how to best protect their employees. The HERO Act has two parts: (1) the […]
Continue reading…Understanding The Medicare Fraud Investigation
By Mathew J. Levy, Esq.Email the Author Today, the sensationalized stories of FBI agents and criminal indictments are the day to day realities of Medicare enforcement faced by every physician. What is Medicare Fraud? First, there are the obvious cases of greed, such as physicians billing for fictitious patients and services never performed and the rendering […]
Continue reading…Understanding the Legal Ramifications Involving Medispas
By Mathew J. Levy, Esq. and Stacey Lipitz Marder, Esq.Email Mathew Email Stacey Introduction Medical Spas (“Medispa”) are becoming very popular as business men and women seek to capitalize on being able to provide botox, fillers, lasers and other medical services to their clientele. While many healthcare providers are being presented with enticing opportunities to […]
Continue reading…Understanding EUOS and New Guidance Involving Corporate Structure
By: Mathew J. Levy, Esq. & Stacey Lipitz Marder, Esq.Weiss Zarett Brofman Sonnenklar & Levy, P.C.Email the Author Providers rendering services under No-Fault are probably familiar with Examinations Under Oath (EUOs). As per applicable No-Fault regulations, by accepting a patient’s assignment of benefits, an insurance company may demand that a provider appear before an EUO […]
Continue reading…UNDERSTANDING MATTERS BEFORE THE OFFICE OF PROFESSIONAL MEDICAL CONDUCT (OPMC)
By: Mathew J. Levy, Esq.Stacey Lipitz Marder, Esq. A physician’s license is her/her most valuable asset – without a license, a physician cannot practice medicine. It takes a great deal of time, sweat, tears and money to become a physician, and therefore any matter before the Office of Professional Medical Conduct (OPMC) should be taken […]
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