tci Medicare Compliance & Reimbursement - 2003 Issue 26

Enforcement: WHAT'S TOPPING FRAUD-FIGHTERS' TO-DO LISTS

Perhaps the top activity for state and federal fraud busters these days is following pharmaceutical money through the complex health-care system. That's the word from two federal enforcement officials who spoke at a June 3 briefing by the Taxpayers Against Fraud Education Fund. State Medicaid fraud recoveries are low compared to Medicare recoveries, but Medicaid takes will likely rise as cases against pharmaceutical manufacturers and others in the prescription-drug supply chain come to light, said Jim Sheehan, associate U.S. attorney for the Philadelphia region. States, rather than the federal government, will originate most pharmaceutical cases because they have...

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