Compliance News Roundup: OIG Senate Testimony-Opioids

1. Doctor Convicted in $8.9 Million Health Care Fraud Scheme –“A federal jury found a physician guilty today for her role in a scheme involving approximately $8.9 million in fraudulent Medicare claims for home health care and other physician services that were procured through the payment of kickbacks, were not medically necessary, not actually provided or, in some cases, were provided by the defendant, who was not a licensed physician during the conspiracy.” Get the full scoop >>

2. Drug Maker Pfizer Agrees to Pay $23.85 Million to Resolve False Claims Act Liability for Paying Kickbacks – “Pharmaceutical company Pfizer, Inc. (Pfizer), based in New York, NY, has agreed to pay $23.85 million to resolve claims that it used a foundation as a conduit to pay the copays of Medicare patients taking three Pfizer drugs, in violation of the False Claims Act, the Justice Department announced today.” Get the full scoop >>

3. Deeper Than the Headlines: OIG Senate Testimony–Opioids – “The OIG continues its voice of concern over opioid overutilization and misuse in the context of Medicare and Medicaid. Most recently, Maureen Dixon, OIG Special Agent in Charge for the Philadelphia Regional Office testified before the U.S. Senate Committee on Finance, Health Care Subcommittee. Her testimony highlighted law enforcement activities led by the Office of Investigations and she discussed OIG projects currently underway to combat opioid-related fraud, waste, and abuse. She also highlighted key OIG recommendations that would, if implemented, have a positive impact on the opioid problem. She began by reminding the committee that more than 60,000 Americans died from drug overdoses in 2016, of which 66 percent reportedly involved opioids.” Get the full scoop >>

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