From Report on Medicare Compliance - In a pure TRICARE case, a compounding pharmacy agreed to pay $3.775 million to settle false claims allegations that it billed for prescriptions written by a physician who is married to an executive at the pharmacy, the U.S. Attorney’s Office for the Middle District of Florida said June 1. MediMix Specialty Pharmacy LLC in Jacksonville allegedly billed TRICARE for compounded drugs that were not reimbursable from Jan. 1, 2009, to Dec. 31, 2014, according to the settlement. Read more
From Report on Patient Privacy - Although it has been available for a decade or so, the cyber liability market is still something of the “Wild West,” in the words of Stephen Raptis, a partner in the Washington, D.C., office of Manatt, Phelps & Phillips LLP. Read more
From Report on Medicare Compliance - Hospitals and other health care organizations no longer have to worry that False Claims Act (FCA) lawsuits will hit very old claims because the U.S. Supreme Court ruled on May 26 that the suspension of the statute of limitations for certain fraud laws doesn’t apply. In the final word on the subject, the highest court in the land said the Wartime Suspension of Limitations Act (WSLA), which still is in effect,… Read more
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