Defense for telehealth and telemedicine providers facing DEA, Ryan Haight Act, and payor audit scrutiny.
Request a Free Case ReviewTelehealth and telemedicine continue to operate under the post-PHE regulatory framework that combines DEA telemedicine flexibilities, the Ryan Haight Act's in-person evaluation requirements, state-by-state telehealth licensure rules, and payor audit programs that increasingly target telehealth-mediated prescribing patterns.
Health Law Alliance defends telehealth platforms, prescribing physicians, dispensing pharmacies, and ancillary providers across DEA flexibility audits, Ryan Haight Act enforcement, state licensure proceedings, and payor audit defense. The defense framework is one matter across federal, state, and payor layers.
.png)
Anthony's background as a former federal prosecutor and executive for major healthcare companies provided a level of expertise and insight that made all the difference. His deep understanding of healthcare law, particularly in litigation and compliance matters, helped navigate complex legal issues with ease.
With upmost professional respect, I will be forever grateful to have such caring individuals as Attorney Anthony Mahajan and Attorney Diana Yastrovskaya who come into my life, even though I am a business owner but I always felt I was treated as a friend and was made reaching out to them with ease.
I had a great experience working with Health Law Alliance. From the very beginning, their team was incredibly helpful, responsive, and professional. They answered all of my questions quickly and kept me informed throughout the entire process.
Anthony and his staff have gone above and beyond. His proactive communication and ability to handle complex legal scenarios effectively have been a significant asset. Highly recommended attorney.
Top-notch attorneys with an unparalleled scope of experience and breadth of knowledge. You will want them in your corner.
Had nothing but great experience from them. Knowledgeable and professional in all aspects. They have a vast knowledge in health care cases, great to be on your side against insurances.
Trustworthy and experienced.
The first response is not a routine administrative task. It establishes the documents, timing, and record the contractor can later use in its findings and on appeal.
Health Law Alliance handles the response and any parallel appeal, licensing matter or referral as one coordinated matter, so the strategy does not change hands as the matter moves between forums.
The bench includes a former Assistant U.S. Attorney nominated for the DOJ Director's Award, senior healthcare-company counsel, and attorney-providers with experience across healthcare audits and investigations.
Agency and company marks identify former professional experience of individual HLA team members. They do not imply affiliation, endorsement, or a client relationship.
Outcomes are summarized for confidentiality. Client names, precise geography, and identifying facts are redacted.
Recoupment Reversed
Multi-location independent pharmacy faced an OptumRx full-scope GLP-1 audit covering 2023 to 2025 semaglutide and tirzepatide claims. HLA reconstructed the PA chain for every flagged fill and documented extrapolation errors; final settlement reflected a 96% reduction.
Network Reinstated
Single-location pharmacy received a Caremark "termination for cause" tied to compounded semaglutide dispensing during the FDA shortage period. HLA's appeal brief led to full reinstatement across Caremark, SilverScript and Aetna networks without a recoupment.
State Board Closed
Compounding pharmacy was referred to the state board by an Express Scripts auditor alleging off-label tirzepatide dispensing. HLA's regulatory response demonstrated full compliance with USP 797 and FDA guidance in effect at the time; the board closed the matter with no discipline.
Attorney advertising. Prior results do not guarantee a similar outcome. Case summaries are generalized for confidentiality and are not a substitute for legal advice on your specific audit.
Seven questions that come up on almost every first call.
Before you write a single page of your written response, have a privileged conversation with attorneys who have overseen 2,000+ audits - from both sides of the table. Free, confidential, no retainer.