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Saturday, August 3, 2019
Florida U.S. Attorney: Georgia Man Sentenced For $6.5M Health Care Fraud, Money Laundering Involving Tricare, Other Victims - InsuranceNewsNet
Florida U.S. Attorney: Georgia Man Sentenced For $6.5M Health Care Fraud, Money Laundering Involving Tricare, Other Victims - InsuranceNewsNet: The U.S. Attorney for the Northern District of Florida, Larry Keefe, issued the following news release:. The sentence was announced today by Lawrence Keefe, United States Attorney for the Northern District of Florida. Burton would forward that information to Hodgson, who would issue the prescriptions- even though he was not licensed to write prescriptions- and...
The OIG Urges CMS to Implement Solutions to Reduce Fraud in Medicare Part C and Part D Thursday, August 1, 2019
CMS should strengthen oversight of Part D payments for compounded topical drugs to prevent fraud, waste, and abuse while maintaining appropriate access. The OIG issued two reports identifying significant increases in Part D spending for compounded drugs, noting that spending increased from $13.2 million in 2010 to $232.5 million in 2016. As a result, the OIG recommended that CMS should strengthen oversight of compounded drugs. In response, CMS issued a HPMS memorandum reminding PDPs of Part D policies for coverage of compounded topical drugs and use of utilization management tools. However, the OIG does not believe it is sufficient, as CMS has not yet completed follow-up on the pharmacies identified by OIG.
read more at https://www.natlawreview.com/article/oig-urges-cms-to-implement-solutions-to-reduce-fraud-medicare-part-c-and-part-d
read more at https://www.natlawreview.com/article/oig-urges-cms-to-implement-solutions-to-reduce-fraud-medicare-part-c-and-part-d
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