tci Medicare Compliance & Reimbursement - 2004 Issue 35

Enforcement Watch: Pharmacy Takes Cover In Recycled Drug Loophole

Court says 'disturbing' lack of legal authority proved fatal to lawsuit.A federal appeals court let a New Jersey provider-pharmacy off the hook Sept. 1 - but not without some strong misgivings.Whistleblower Thomas Quinn, the former regional comptroller for Omnicare subsidiary Pompton Nursing Home Suppliers, brought the false-claims action. When medications were returned for resale, Quinn alleged, the pharmacy routinely credited Medicaid with only 50% of what Medicaid had originally paid the pharmacy. Then, Pompton pocketed the remaining money to cover the "expenses of restocking and redispensing," according to court documents. However, the court said that...

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.