High Quality Services And Personal Attention
By David A. Zarett, Esq. Under federal law, a private citizen (denominated a “Relator”) can bring a False Claim Act (“FCA”) lawsuit in the name of the United States Government against healthcare providers, based on allegations of healthcare/Medicare fraud. These...
By Chaya Rosenbaum On June 28, 2024, the U.S. Supreme Court decisions in Loper Bright Enterprises v. Raimondo, and a companion case, Relentless, Inc. v. Department of Commerce, had the collective effect of upending a legal framework relating to federal regulation that...
In New York, auto insurers like GEICO, State Farm, and Allstate have been aggressively commencing lawsuits against healthcare providers alleging they committed for fraud, violated violations of the Racketeer Influenced and Corrupt Organizations (RICO) Act, and/or were...
By David A. Zarett, Esq.Email David Given the ever-increasing prevalence of social media websites which “rate” physicians (such as Zocdoc and Yelp), it is not unusual for a disgruntled patient to post a negative review regarding a particular doctor. Understandably, any negative review creates consternation for physicians, who fear that the adverse publicity will interfere with their ability to retain…
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 Cuomo. Whereas the previous mandate applied only to healthcare workers…
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 the tactics used in recovering…
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 Safety Plan and (2) the Safety Committee. Part 1: The…
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 of unnecessary medical procedures. However,…
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 become involved with Medispas, it…
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 in order to verify the…