Doctor shopping involves visiting more than one doctor to obtain many prescriptions for a controlled substance. While California doctors have a duty to check a state database before prescribing potentially dangerous drugs, doctor shopping remains common in the state....
The federal government carefully regulates the use of pharmaceutical drugs to ensure that people safely use them and that pharmaceutical companies and other health care providers do not defraud government benefit programs like Medicaid. Unfortunately, many forms of...
Pharmacists, pharmacy technicians and others who work in pharmacies process a broad range of types of prescriptions on a daily basis. While most prescriptions that come through a pharmacy may well be legitimate, some may be fraudulent, exposing pharmacy staff member...
When people hear "Medicare fraud," doctors and pharmacists often come to mind. Unsurprisingly, big cases involving pharmaceutical fraud can increase public suspicion of medical administrative practices. In 2019, 29 states filed a lawsuit against CVS Health Corp, one...
Medicare and Medicaid are federally funded health insurance programs that provide medical coverage to elderly and low-income individuals, respectively. Because pharmaceutical fraud involving Medicare or Medicaid costs taxpayers money, you can potentially suffer very...
In California, there are different types of schemes used to enact pharmaceutical fraud. Each one works in a different way. Each one is for the same purpose, which is defrauding insurance companies. Today we will take a look at some types of fraud in the pharmaceutical...
Pharmacists and other individuals who commit Medicare and Medicaid fraud face serious federal charges. The Federal Sentencing Guidelines mandate jail time, disbarment, fines and even deportation for fraud-related convictions. Before facing Medicare fraud charges in...
Once you determine to your satisfaction that there is a possibility or probability of healthcare fraud, there are many options that present themselves to you. Should you report it internally? Should you report it to some sort of regulatory body in that area of the...
In a previous post, we examined some of the reasons why some pharmacists in California carry out pharmaceutical fraud as well as the consequences associated with these charges. However, lead attorney Gary Jay Kaufman knows that not all cases involve accurate details...
A California doctor was convicted earlier this year for receiving illegal kickbacks for Medicare referrals. According to the United States Department of Justice, evidence showed that he and others referred Medicare patients to a California home health agency in...
