Compliance News Roundup: Opioid Prescription Oversight, by State

1. NY Doctor to Pay Nearly $130,000 for Illegal Kickback Scheme - The U.S. Attorney’s Office in Oklahoma entered into an agreement with George Lehner, 46, a New York doctor. Lehner has agreed to pay $127,072.34 for allegedly accepting illegal kickback payments from OK Compounding, L.L.C.

“OK Compounding was an epicenter of criminal and civil healthcare fraud in northeastern Oklahoma. Another week, another physician being held accountable. My team won’t rest until they’ve rooted out the corruption,” said U.S. Attorney Trent Shores.

The settlement is the result of an investigation of healthcare providers writing prescriptions for OK Compounding pain creams, which provided kickback payments for those prescriptions. Get the full scoop >>

2. Illinois Man Sentenced to 30 Months for Health Care Fraud  - Anthony B. Camillo of Madison County, Illinois, was sentenced to 30 months in prison for his participation in an illegal kickback scheme. Camillo, 62, appeared in federal court on Monday, July 8, 2019 where he was also ordered to pay $3,469,810 in restitution.

Camillo, who owns Allegiance Medical Laboratory and AMS Medical Laboratory, paid “marketers” kickbacks for urine and saliva samples that were sent to his labs for testing. Camillo paid these marketers $150-$200 for each sample that Medicare and Medicaid paid his labs. During the life of the scheme, many disabled and elderly patients were repeatedly subjected to medically unnecessary testing, while living in residential care facilities. Get the full scoop >>

3. Deeper Than the Headlines: Opioid Prescription Oversight, by State - The OIG recently completed a review of eight States to shed light on actions they have taken to address the opioid epidemic. They published their findings on July 2019, in a report titled “Oversight of Opioid Prescribing and Monitoring of Opioid Use: States Have Taken Action To Address the Opioid Epidemic.”

Their objective was to identify the selected States’ actions related to the oversight of opioid prescribing and monitoring of opioid use within their state. They selected eight States for review, by analyzing CDC data that showed State trends in opioid overdose deaths. The selected States included both those participating and not participating in the Medicaid expansion under the Patient Protection and Affordable Care Act. The eight states featured in the report include Nebraska, Nevada, New Hampshire, Tennessee, Texas, Utah, Washington State, and West Virginia. To get the full scoop, read CJ’s Deeper than the Headlines here >>

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