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Criminal Defense for Pain Clinics

Defending Your Pain Clinic Against Unjust Claims

It’s no secret that in recent years the opioid prescription drug epidemic has increased. With an increased number of opioid-related overdoses from prescriptions and illicit street drugs, the government is cracking down on everyone. This intervention is cracking down especially on pain management doctors and pain clinics. Due to the very nature of the profession, many doctors are finding themselves on the receiving end of prescription fraud lawsuits and civil lawsuits for injured parties. This article will review some of the triggers that prompt government cases and the effects they have on pain clinics and prescribers of pain medicine.

The Department of Justice’s Crackdown on Opioid Abuse

Under the direction of Attorney General Jeffrey Sessions, “the largest health care fraud takedown in American history” was announced. The takedown included many arrests, exclusion from governmental insurance programs like Medicaid and Medicare, fraud and pharmacy fraud-related charges. It has been estimated that the takedown has saved taxpayers approximately $1.3 billion. Sessions also indicated that he intends on continuing with increased measures to fight the epidemic.

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Increased Governmental Monitoring of Prescribing Practices and Pharmacy Fraud

To continue his campaign against opioid and pharmacy fraud, Attorney General Sessions also started the Opioid Fraud and Abuse Detection Unit. The unit operates under the DOJ and monitors data that alerts the unit to potential dangers of pharmacy fraud. Among these dangers include:

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What the Detection Unit Monitors

Monitored Activity What It Means
Opioid related drug diversion Prescriptions being diverted from legitimate medical use to illegal distribution
Physician shopping Patients visiting multiple doctors to obtain multiple prescriptions
Kickbacks and incentives monitoring Financial arrangements that influence prescribing decisions
Illegal drug dispensing practices Prescribing or dispensing controlled substances outside legal guidelines

In addition to monitoring, the enforcement agency has assigned special federal prosecutors to 12 areas identified as having disproportionately high rates of opioid abuse. The unit will combine forces with the DEA, FBI, HHS, and local and state law enforcement agencies. Those monitoring prescriber practices are also ordered to look for clues indicating the following:

Warning Signs for Prescribers

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ABOUT THE AUTHOR

Todd Spodek

Managing Partner

With decades of experience in high-stakes federal criminal defense, Todd Spodek has built a reputation for aggressive, strategic representation. Featured on Netflix's "Inventing Anna," he has successfully defended clients facing federal charges, white-collar allegations, and complex criminal cases in federal courts nationwide.

Bar Admissions: New York State Bar New Jersey State Bar U.S. District Court, SDNY U.S. District Court, EDNY
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