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Speaker Program Opportunities for Healthcare Practitioners

Expand Your Expertise and Influence Through Speaker Programs

Speaker programs offer healthcare practitioners opportunities to share expertise, enhance reputation, and educate peers, leading to increased recognition and career advancement.

Don't miss this chance to make an impact. Our team of experienced healthcare attorneys, led by our knowledgeable founding partner, can help you navigate the legal and compliance aspects of speaker programs. If you're seeking guidance on speaker program opportunities, act now and put our expertise to work for your career.

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500+

PRACTITIONERS ADVISED
Past Experience
SPEAKER PROGRAM EXPERTISE

Pharmacy Audit Defense Lawyers

Our speaker program advisory team has helped healthcare practitioners secure high-profile speaking engagements, maximize their impact, and navigate the legal and compliance aspects of these opportunities.

We provide expert guidance tailored to your specific circumstances, using our knowledge of the speaker program landscape and industry relationships. As healthcare attorneys, we ensure that your participation in speaker programs complies with all relevant laws and regulations. When your professional reputation and career advancement are at stake, our team of experienced advisors is your trusted partner.

1200+

Clients served

2500+

matters handled

24/7

availability

100%

flexible rates
Our PBM audit defense team has helped clients avoid millions of dollars in recoupments, remain in-network, win reinstatement, and defend themselves against abusive PBM tactics.

When your license or livelihood is threatened, our team of pharmacy PBM audit attorneys is your fiercest ally.

1500+

Clients served

5000+

matters handled

24/7

availability

100%

flexible rates
"Anthony is the definition of a 'plug and play' athlete. Put him the game and he will change it."
- Former Acting U.S. Attorney, E.D.N.Y
SPEAKER PROGRAM CASE STUDIES
PBM Case
Studies

Speaker Program Success Stories

Read about healthcare practitioners who have enhanced their careers and made a difference through speaker programs—with our guidance, they maximized their impact and opportunities.
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SPEAKER PROGRAM SUCCESS 1

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Awards & Recognition
Our process

PBM Audit Defense Process

01

Initial Consultation

We use a free consultation to understand your expertise, goals, and preferences for speaker programs, and identify potential opportunities that align with your profile.
02

Opportunity Analysis

Our team researches and analyzes speaker program opportunities, considering factors such as audience, format, and compensation, to identify the most promising options for you.
03

Legal & Compliance Review

We conduct a thorough legal and compliance review of the speaker program opportunities to ensure they meet all relevant regulations and industry standards.
04

Engagement & Optimization

We guide you through the speaker program engagement process, from contract negotiation to preparing your presentation, and provide ongoing support to help you maximize your impact and benefits from the opportunity.
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FAQ

Frequently Asked Questions

What information should I provide for the initial consultation?

For the initial consultation, it's helpful to have your CV, areas of expertise, and any previous speaking experience. We'll also discuss your goals and preferences for speaker programs. As we identify specific opportunities, we may request additional information to support your candidacy.

What if I don't have extensive speaking experience?

While previous speaking experience is valuable, it's not always required. We can help you identify opportunities that align with your level of experience and provide guidance to help you prepare and deliver effective presentations.

Are there any risks or legal considerations associated with speaker programs?

There are legal and compliance considerations surrounding speaker programs, such as anti-kickback laws and industry regulations. We provide guidance to ensure your participation is fully compliant and protects your professional interests.

How can I balance speaker program engagements with my clinical practice?

We work with you to identify speaker program opportunities that align with your schedule and commitments, ensuring that your participation is manageable and doesn't detract from your primary clinical responsibilities.

Will participating in speaker programs conflict with my current employment or affiliations?

We carefully review any potential conflicts of interest and work with you to ensure your participation in speaker programs complies with your existing obligations and agreements.

What are the typical compensation arrangements for speaker programs?

Compensation for speaker programs varies depending on factors such as the event format, audience size, and your level of expertise. We help you understand and negotiate favorable compensation arrangements for each opportunity.

Can your assistance help me secure more speaker program opportunities in the future?

Absolutely. We provide ongoing support and advice to help you build your reputation as a sought-after speaker, leveraging your successes to secure future opportunities and advance your career.

Can speaker programs help me expand my professional network?

Definitely. Speaker programs provide excellent opportunities to connect with other healthcare professionals, opinion leaders, and industry representatives, which can lead to valuable collaborations, referrals, and career prospects.

Health Law Alliance

Book a Free Consultation

We help healthcare practitioners maximize the benefits of speaker program opportunities while ensuring legal and regulatory compliance. Don't miss out on the chance to enhance your expertise and influence. Schedule a free consultation now.

PBM AUDIT STRATEGY

PBM Audit Information

The Role of Pharmacy Benefit Managers in Pharmacy Audits

To design an effective PBM audit response strategy, providers must understand the chain of events both prior to the initiation of a PBM audit and afterwards. For example, Special Investigative Units (SIUs) are often the genesis of a pharmacy audit, and the presence or absence of "audit risk factors" is informative on potentially broader exposure beyond the claims under audit. Any decision to resolve an audit should be informed and result in a full and final settlement of all liability, but PBM audit settlements need to be structured carefully to achieve this goal.

PBMs that Conduct the Most Pharmacy Audits


CVS Caremark, OptumRx, and Express Scripts, control at least 80% of the market, making them the three biggest PBMs. Humana also ranks among the largest. In addition, these PBMs regulate access to networks for smaller competitors, such as ESI's partnership with Prime. Plan sponsors, such as United Health, Cigna and Aetna, are vertically integrated with these PBMs, increasing audit risk for pharmacies because network sanctions are more likely to affect a significant aspect of a pharmacy's business across both government and commercial claims.

Common Pharmacy Audit Areas


PBMs and payors use artificial intelligence and data mining across medical and pharmacy claims to identify areas of potential inquiry. Among other areas, these inquiries typically involve high-reimbursing medicines, brand/generic substitution, inventory discrepancies, co-payment collection, prior authorization, and telehealth relations. Separately, DEA conducts audits and inspections for compliance to controlled substance regulations.  

Types of Pharmacy Audits


Common types of PBM audits include desk audits; on-site audits; invoice audits; and prescription audits. Irrespective of the type of PBM audit, all interactions with PBMs should be taken extremely seriously and can lead to severe consequences if not handled appropriately. For example, there has been a sharp increase in the federal prosecution of pharmacists for audit-related conduct, including answering PBM questions incorrectly. Accordingly, pharmacies should consider using outside audit counsel to avoid these pitfalls.

Preparing for Pharmacy Audits


Pharmacies can take various steps to prepare to meet PBM audits, including routine self-audits. In fact, the government publishes comprehensive guidance and a checklist to assist pharmacies in their audit planning, including self-audits around prescribing practices, controlled substance management, invoice management, and billing practices. If you need assistance designing or implementing an audit protection plan, please do not hesitate to contact us.

Defending Pharmacy Audits


Defending against a PBM audit requires comprehensive knowledge of the rights, responsibilities, and intricacies of pharmacies and their laws and regulations.  If your pharmacy has been identified for a PBM audit, there are a number of potential defenses available to you. The first defense against a PBM audit is to be proactive, and audit planning can lessen the chance of unfavorable findings. That said, it is often necessary to involve an attorney to hold PBMs to their obligations under law and provider agreements. For this reason, national audit services and pharmacy audit consultants are often ineffective.

Pharmacy Audit Appeals


Audit discrepancies and findings can be appealed based on the specific procedures outlined in the provider manuals. It is important to follow these requirements exactly, within the timeframes established, or your appeal rights could be lost and further review denied. In an appeal, it is critically important to make a complete record of why the audit findings or sanctions should be reversed, including through documentation, legal arguments, and corrective actions, if any. Depending on the outcome of the appeal, you may have further legal recourse against the PBM.

Potential Consequences of Pharmacy Audits

PBM audits can have severe repercussions depending on the results of the pharmacy audit, including recoupments, network sanctions, and criminal, civil and administrative investigations involving jail time, significant fines, and license revocation or exclusion. We publish a 10-part PBM Audit Guide that discusses the overlap between PBM audits and government investigations and how to successfully manage audit risk. This resource is complimentary to subscribers HERE.