Photo: Shutterstock Compounding the Fraud: Questionable Billing by Pharmacies
As Evan H. Krinick and Michael A. Sirignano discuss in this Insurance Fraud column, fraud with regard to compounded drugs—customized medications that are tailored to the needs of individual patients—and the associated costs to federal health care programs and private insurance plans, remains rampant in New York and across the country.
July 01, 2021 at 12:30 PM
9 minute read
As the COVID-19 pandemic was taking hold last April, the Manhattan U.S. Attorney filed a lawsuit against FPR Specialty Pharmacy and Mead Square Pharmacy, and their owners, Christopher Casey and William Rue, alleging that they had submitted fraudulent claims for reimbursement to federal health care programs for compounded prescription drugs in violation of the False Claims Act (FCA) and the Anti-Kickback Statute.
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