tci Medicare Compliance & Reimbursement - 2005 Issue 30

Enforcement Watch: Prosecutors Punching Out Kickback Fraudsters

Undercover investigators could expose a prescription-drug fraud scamAny pharmacist who is considering committing insurance fraud should be prepared to face a stiff prison sentence if prosecutors find out. A recent case illustrates just how fervent some prosecutors are when pursuing pharmaceutical fraudsters. Insurance fraud prosecutors are proving they're not afraid to pursue prison sentences for pharmacists who devise a scheme to defraud the Medicaid program.Neptune, NJ-based GLV Parke Warner Pharmacy owner and operator Rammohan Pabbathi received a three-year prison sentence for allegedly defrauding Medicaid, the state Attorney General Peter Harvey announced on July 13. Pabbathi paid $450...

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