Utilizing sales reps to market your pharmacy services to physicians may be effective, but unless you comply with regulations and state and federal laws, you could face significant civil and criminal liability. Pharmacy Benefit Manager (PBM) audits can lead to the withholding of claim reimbursements, the significant recoupment of reimbursement you’ve already received, or the loss of essential PBM contracts.
Violations of the False Claims Act and the federal Anti-kickback statute can lead to pharmacies, just like yours, getting into hot water with the federal government — including exorbitant civil monetary penalties, possible criminal liability, and the exclusion of participation in federal healthcare programs. However, there are steps you can take to protect yourself and your pharmacy.
In this 60-minute training session, healthcare attorney, former federal prosecutor, and pharmacy compliance expert, Nicole Hughes Waid, Esq., will walk you through exactly what you need to do to better protect yourself and your pharmacy from both civil and criminal liability. She’ll provide you with specific steps you’ll be able to implement to significantly reduce your risk of getting targeted for a federal investigation or owing significant money as the result of a PBM audit.
- Avoid violating federal Anti-kickback statute with sales rep compensation structures
- Reduce risk with proven sales rep supervision strategies
- Stop private and federal payor differences from getting you into trouble
- Comply with safe harbor provisions related to your sales rep employment arrangements
- Accurately respond to government inquiries to avoid additional fines and penalties
- Conduct self-audits successfully to identify and remedy violations before they are flagged for a PBM audit
- Head off HIPAA violations and massive fines with easy-to-implement processes
- And so much more…
You can have the benefits of utilizing sales reps to promote your pharmacy without the increased liability, if you know how. By ordering this online training session, you’ll receive the specific tools you need to head off costly PBM audit recoupments and the hefty penalties that can accompany government investigations.
Previously, pharmacies haven’t been targeted by government agencies for compliance and recoupments of funds. However, government revenue goals are fueling audits so that they can collect as many penalties and fines as possible. And pharmacies are now on the hit list. Order today.
Who will benefit: Pharmacists, Managers, Directors, Owners, Compliance Professionals, Technicians, Interns, etc. in the following types of pharmacies: Ambulatory, Clinical, Compounding, Retail, Community, and Specialty Pharmacies.
Meet Your Expert: Nicole Hughes Waid, Esq.
Nicole focuses her practice on white-collar litigation, healthcare regulatory matters, compliance assessments, and data privacy issues. Nicole conducts internal investigations of companies when fraud is suspected, conducts risk assessments of corporate high-risk areas, and investigates data breach incidents. She represents companies under civil and criminal investigation by the Department of Justice, as well as financial investigations by the Securities and Exchange Commission. Nicole regularly represents clients in complex litigation, including allegations of violations of the False Claims Act, Anti-Kickback Statute, HIPAA, and Foreign Corrupt Practices Act. In addition, she assists companies with due diligence requirements regarding third party vendors, financial transactions, and mergers and acquisitions.
Nicole was a federal prosecutor for 12 years where she honed her litigation and investigative skills. She was the Chief Assistant United States Attorney, Middle District of Florida, Fort Myers Division from 2010-2013 and an Assistant United States Attorney for the District of Colombia from 2002-2009, where she held a number of supervisory positions. During her tenure as a federal prosecutor, she handled complex white-collar matters including bank fraud, health care fraud, mortgage fraud, public corruption and national security matters. She uses her extensive experience with federal government to counsel clients on the handling of government investigations and regulatory issues. She also assists companies in the implementation of effective and efficient compliance programs for companies and their global operations.
While serving as a federal prosecutor in Washington, D.C., Nicole was heavily involved in the Community Prosecution and Project Safe Neighborhood programs. She prosecuted violent crime, narcotics cases and gang cases. During her tenure as a federal prosecutor, Ms. Waid gained in-depth experience in law enforcement training, compliance and community policing policies and programs. Nicole uses this knowledge to conduct risk assessments for law enforcement agencies, assess policies and procedures, and conduct training for officers to implement new community policing standards.