Posts Tagged ‘TRICARE’
Compounding Pharmacies to Pay $6.8M in Prescriptions-for-Money Scam
Three pharmacies and a billing company have agreed to pay more than $6.8 million to resolve allegations that they violated the False Claims Act by waiving co-pays, charging the government higher prices than allowed, and trading federal healthcare business with other pharmacies. Those implicated are: DermaTran Health Solutions, LLC; Pharmacy Insurance Administrators, LLC; Legends Pharmacy;…
Read MoreFlorida Men Charged in $54M Pharmacy Fraud Case
Four Florida pharmacy owners were recently indicted for their alleged participation in a $54 million compound pharmacy kickback scheme. The indictment, announced on June 5, alleges that the men owned and operated Florida Pharmacy Solutions Inc. in Zephyrhills, Fla., “for the purpose of targeting TRICARE beneficiaries and causing the submission to TRICARE of claims for…
Read MoreDoD Wants to Impose CMPs on Those Who Defraud TRICARE
Plagued by fraud and abuse targeting its TRICARE program, the U.S. Department of Defense, on May 1, issued a proposed rule that would allow it to impose civil monetary penalties (CMPs) against providers and suppliers who commit fraud and abuse against the TRICARE program. The new rule would create the “Military Health Care Fraud and…
Read MoreJudge: Third Try Won’t be the Charm for Whistleblower
A U.S. District Court Judge earlier this month tossed a whistleblower lawsuit filed against a Florida compounding pharmacy finding that the former sales representative who filed the initial lawsuit in 2013 failed to make sufficient pleadings. However, defendant RS Compounding LLC in Tampa is not completely off the hook. The government intervened in, and the…
Read MoreGenetic testing latest scam targeting Tricare
The Tricare program is once again the target of fraudulent claims. The health insurance program for members of the U.S. military, their family and retired military, has been bilked millions of dollars for unnecessary genetic tests and drug screening, according to media reports. The latest alleged Tricare scam goes something like this: Labs set up…
Read MoreTRICARE Billing Scandal Intensifies as Feds Target More Compounding Pharmacies
Allegations of fraudulent billing practices involving compounding pharmacies and specialty creams is rearing its ugly head again. Now, the U.S. Department of Justice is investigating what is suspected to be half a billion dollars in healthcare fraud linked to these creams used to treat pain. TRICARE, the health insurance program for members of the U.S.…
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