Michael Silverman

About

Prior to joining the firm I served as the General Counsel and Compliance Officer to a nationally licensed mail order DMEPOS and pharmaceutical provider. Iearned a BS in Psychology from Florida State University and a JD from the University of Miami School of Law. I graduated cum laude from both institutions and earned two book awards for academic excellence. While in law school, I interned for the late Senior Federal Judge Ryskamp in the Southern District of Florida.
·         DMEPOS/Pharmacy Business Formation and Transactions
o   Become a DMEPOS or Pharmacy Provider from Scratch
§  Business Formation
§  CMS DMEPOS Accreditation Organization Certification
§  Pharmacy Accreditation
·         VIPPS and URAC
§  Development of Policy & Procedures Manual and Compliance Program
§  Licensing and Permits - Product Specific State Licensing Analysis
§  Contracting with State, Federal and Private Payers
·         Enrollment with CMS as a Medicare Part B Provider [for DMEPOS Providers]/Competitive Bid
·         Contracting with Pharmacy Benefit Managers [for Pharmacy Providers]
o   Transactions: Buying/Selling a DMEPOS or Pharmacy Entity
·         Compliance/Regulatory
o   Marketing
§  State and Federal Regulatory consideration
·         DMEPOS Supplier Standard #11 Adherence
o   Telemarketing/Call Center Liability
§  Anti-Kickback Considerations
§  Federal Telephone Consumer Protection Act
§  Commercial Telephone Seller Licenses and Exemptions
o   Audits and Inspections
o   HIPAA
o   Administrative Complaints
§  Florida AHCA
§  State Boards of Pharmacy
§  State Medicaid Programs
§  CMS
o   Ongoing credentialing adherence (Revalidation/Re-credentialing)
·         Payer Reimbursement disputes
o   CMS Medicare Part B/DMEPOS private payor claims appeals
o   Pharmacy Benefit Managers/Medicare Part D
·         Litigation
o   Telephone Consumer Protection Act Class Action Defense (robocalls and fax blasting)
o   Civil Qui Tam Defense
o   General Business/Commercial Litigation
Admissions:
Florida Bar
U.S. District Court for the Southern District of Florida