tci Medicare Compliance & Reimbursement - 2021 Issue Q4

Fraud & Abuse: Feds Fixate on Drug Fraud in Fall Enforcement

Warning: Latest round of settlements target physicians. As the nation continues to grapple with COVID-19, opioid abuse and prescription drug fraud are running amok — and the authorities are beefing up their enforcement efforts. In fact, five September cases suggest that physicians are getting the brunt of the feds’ ire. In Connecticut: Shelton-based physician David Ciancimino was arrested in a cash-for-drugs scheme that ran from July 2020 to September 2021, a Department of Justice (DOJ) release indicates. In a takedown that utilized undercover federal task force agents, an investigation “revealed that Ciancimino was providing prescriptions for Adderall or...

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