HortySpringer Health Law Expressions

Latest Episodes:

Master of Disguise May 10, 2023

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The Kickback Chronicles, Episode 15
On this week’s episode of The Kickback Chronicles, HortySpringer attorneys Henry Casale and Hala Mouzaffar examine a massive scheme involving a compound pharmacy and TRICARE. They take an especially close look at the lengths this group went to after they were caught to cover their trail and falsify documents—all in a fruitless effort to vindicate themselves of any wrongdoing.

Listen now to this episode to see what you can learn from the misfortune of others.

Friendship is in the Eye of the Beholder Mar 30, 2023

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The Kickback Chronicles, Episode 14
On this week’s episode of The Kickback Chronicles, HortySpringer attorneys Henry Casale and Hala Mouzaffar examine a scheme involving ophthalmology surgery equipment. In a scheme seemingly drenched in kickbacks, find out why the company and its owner decided to roll the dice and take their case to trial.

Rx-ploiting Medicare and Medicaid Mar 15, 2023

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The Kickback Chronicles, Episode 13
On this week’s episode of The Kickback Chronicles series, HortySpringer attorneys Henry Casale and Hala Mouzaffar see how encompassing pharmaceutical fraud can be by taking a closer look at three recent cases, each involving prescriptions, each entirely unique from the others, and each more expensive than the last.

Listen now to this episode of the “Kickback Chronicles” to see what you can learn from the misfortune of others.

Urine Trouble Feb 07, 2023

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The Kickback Chronicles, Episode 12
On this week’s episode, HortySpringer attorneys Henry Casale and Hala Mouzaffar look at a North Carolina Medicaid fraud scheme in which Medicaid recipients were required to submit medical unnecessary urine specimens that were billed to the North Carolina Medicaid program in order to participate in subsidized housing programs, after school programs, and mental health and other clinics.

Listen now to this episode of the “Kickback Chronicles” to see what you can learn from the misfortune of others.

The Pain Caused by Lying to the Feds Jan 26, 2023

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The Kickback Chronicles, Episode 11
On this week’s episode, HortySpringer attorneys Henry Casale and Hala Mouzaffar review the recent sentencing of two individuals connected with over prescribing Subsys, one of the drugs at the center of the opioid crisis.

Listen now to this episode of the “Kickback Chronicles” to see what you can learn from the misfortune of others.

Moving to a Three-Year Appointment Period – Is Now the Time? Jan 04, 2023

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The Joint Commission announced in mid-December that, effective immediately, hospitals could begin reappointing and renewing clinical privileges for practitioners every three years, rather than every two years. This is nothing new for those hospitals accredited by the DNV, but with this announcement, many hospitals accredited by TJC are considering moving to a three-year appointment period. Before making this decision, there are several factors that you should evaluate. For example, what changes will you need to make to your Medical Staff governance documents, does state law permit you to reappoint practitioners every three years (some do not), and are there changes to your peer review process that you will need to make to ensure that patients are protected if a longer appointment term is adopted. Join Horty, Springer and Mattern attorneys Susan Lapenta and Charles Chulack for this podcast episode that provides the answers to these questions and more!

The Alchemy of Fraud Dec 14, 2022

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The Kickback Chronicles, Episode 10
On this week’s episode, HortySpringer attorneys Henry Casale and Hala Mouzaffar turn their focus to telemedicine fraud in the pharmaceutical industry. With help from an industry expert, they take a closer look at some common themes to look for and avoid in the pharmaceutical world.

Listen now to this episode of the “Kickback Chronicles” to see what you can learn from the misfortune of others.

Ain’t No Stopping It Now, Telemedicine Is Here to Stay! Oct 05, 2022

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The Kickback Chronicles, Episode 9
On this week’s episode, HortySpringer attorneys Henry Casale and Hala Mouzaffar dive into the world of telemedicine. The expansion of access to telemedicine services during the COVID-19 pandemic has opened the door to a whole new type of fraud. Join us as we take a closer look at how the OIG will be identifying and evaluating these types of cases as well as some of the most recent victims of the OIG’s crackdown on telemedicine.

Listen now to this episode of the “Kickback Chronicles” to see what you can learn from the misfortune of others.

But For the Grace of Fraud Go I Sep 15, 2022

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The Kickback Chronicles, Episode 8
On this week’s episode, HortySpringer attorneys Henry Casale and Hala Mouzaffar take a closer look at a recent case involving an alleged kickback scheme between an engaged couple on separate ends of a financial relationship. In what first appeared to be a shut and close case, now remains unfinished. Learn how just two words changed everything.

Listen now to this episode of the “Kickback Chronicles” to see what you can learn from the misfortune of others.

Oops!... She Committed Fraud Again Aug 23, 2022

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The Kickback Chronicles, Episode 7
On this week’s episode of The Kickback Chronicles, HortySpringer attorneys Henry Casale and Hala Mouzaffar take a closer look at a recent case involving a woman who just couldn’t get enough of the Department of Justice. While awaiting sentencing for a guilty plea of health care fraud, this week’s schemer got herself involved in yet another Medicaid billing scheme.

Listen now to this episode to see what you can learn from the misfortune of others.

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