Managing a pharmacy or dispensary requires taking vital steps towards making sure you remain compliant with all legal regulations. If not, it is possible that you are violating medical laws that can lead to fines and other penalties.
For patients to be protected, legislators are passing laws that are increasingly becoming complex. However, keeping up with changes while serving patients is not always easy to do.
Violations of fraud or privacy rules may occur if you are not able to follow each regulation that applies to your pharmacy or dispensary. The harshest penalty could cause you to go out of business.
Therefore, protecting yourself from the possibility of dealing with these issues is critical. Educating yourself about current laws is a start; hiring a capable law firm to represent your interests is even better.
Role of the Health Insurance Portability and Accountability Act (HIPAA)
From actively preventing fraud to helping people keep their insurance coverage after changing jobs, HIPAA has a vital role in the healthcare system. Additionally, this law protects the confidential health information of patients from being shared with third parties, unless patients give permission to share the information.
Violating HIPAA can have a negative impact on your pharmacy or dispensary. Therefore, you should take precautions at all times to make sure your actions, and the actions of your staff, are compliant at all times. Equally important to ensuring compliance is to educate your staff so they never compromise sensitive health information by accident or otherwise.
All electronic and hard copy files containing sensitive data should be kept in a secure location with passwords.
Being Prepared for Audits
Even with a meticulous staff, there are times when a mistake turns into you receiving a notice about an audit. If this occurs, it is very important that you have accurate information and records. This can not only prepare you to answer any questions with proof, but you can also maintain the reputation of your pharmacy.
Failing an audit can be a negative experience, especially when you believe you did everything correctly. Human nature means it is easy to forget a detail or completely miss its importance. Although done in error, it can be very costly for your business. Someone specializing in healthcare law can help you through the process of correcting the mistake and moving forward.
Complexities of Medicare and Medicaid
Medicare and Medicaid are two of the most complex government programs. In general, physicians and pharmacists struggle to understand specific rules and requirements that are subject to change.
Because of this, many pharmacies can be at constant odds with the regulations of these insurance programs. Both Medicare and Medicaid are often the primary basis for suspected fraud and abuse allegations.
Having a legal team on your side that understands unintended problems and consequences can give you an advantage over most. You need a law firm that is familiar with issues and can give guidance on running your business to avoid many of these issues.
Consequences of Violations
Most people are either unaware or simply ignore the consequences that can result from violating rules associated with Medicare and Medicaid patients. By the time they fully grasp what happened, their businesses and reputations have succumbed to legal problems that are usually beyond repair.
Some cases have ended with a single violation costing $1.5 million in fines. This can be catastrophic for a pharmacy or dispensary. For starters, your license could be pulled for noncompliance.
Furthermore, surviving the audit does not mean that your business’s reputation would survive the negative publicity that prevents customers from using your service in the future.
Dallas Lawyers for Pharmacies/Dispensaries Can Help
Receiving professional legal assistance from Raiser & Kenniff, PC will remove the burden and worries of losing your license and customers. Our law firm is ready to help you conduct internal audits or whatever is necessary to uncover areas where you could be exposed – before the government send notification of an audit.
Our thorough review and analysis will ensure your pharmacy does not have any violations. During our initial consultation, we will discuss and address your concerns. Making sure you understand licensing requirements and various laws will combine our efforts to ensure your pharmacy or dispensary is compliant.