tci Medicare Compliance & Reimbursement - 2003 Issue 23

Fraud & Abuse: 200 PROVIDERS EXCLUDED PER MONTH

Medicaid rebates were at the center of the biggest health care fraud settlement over the last six months, the HHS Office of Inspector General says in its latest Semiannual Report. In the document, a biannual compendium of the agency's activities, the OIG gives prominent place to the $49 million False Claims Act settlement finalized last year with drug giant Pfizer Inc. The settlement resolved allegations that "educational grants" Parke-Davis (acquired by Pfizer in 2000) made to a health plan amounted to discounts that should have been reported to the government and calculated into the company's Medicaid rebates. The resolution...

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