tci Medicare Compliance & Reimbursement - 2005 Issue 32

ENFORCEMENT WATCH: NJ Provider On Hot Seat In Drug-Fraud Case

Rx-dispensation scam could lead to harsh penalties.Pharmaceutical providers should know that insurance fraud prosecutors are getting really good at rooting out unlicensed pharmacy owners. As a result, submitting claims to Medicaid for prescription medications never dispensed could earn a provider huge fines - and even a trip upstate.To wit: Essex County, NJ-area Ojah Pharmacy manager Verona Boodram and pharmacy technician Alpha Bangoura face Medicaid fraud charges, state Attorney General Peter C. Harvey announced July 22.A grand jury indicted Boodram and Bangoura on a second-degree Health Care Claims Fraud charge and two counts of third-degree Medicaid Fraud...

To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.


Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Medicare Compliance & Reimbursement +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.