Compliance News Roundup: Why the OIG is Watching Chiropractic Services

1. Mylan Agrees to Pay $465 Million to Resolve False Claims Act Liability for Underpaying EpiPen Rebates - “Pharmaceutical companies Mylan Inc. and Mylan Specialty L.P. have agreed to pay $465 million to resolve claims that they violated the False Claims Act by knowingly misclassifying EpiPen as a generic drug to avoid paying rebates owed primarily to Medicaid, the Justice Department announced today. Mylan Inc. and Mylan Specialty L.P. are both wholly owned subsidiaries of Mylan N.V., which is headquartered in Canonsburg, Pennsylvania.” Read the Full Story >>

2. Pediatrician gets 3-year prison sentence for Medicaid fraud - “A Newark pediatrician was sentenced to three years in prison for billing Medicaid for 24-hour work days on multiple occasions when her office was only open for eight hours, authorities said Monday.” Read the Full Story >>

Deeper Than the Headlines: Why the OIG is Watching Chiropractic Services - You might have noticed that the OIG has frequently reviewed chiropractic services over the last several years. Their most recent report was posted on their website on Aug. 18, 2017 and concluded that a Brooklyn chiropractor had a 100% error rate for claims over a two-year period worth about $672,000.  Of course, the provider can follow the CMS appeals process regarding these claims but I think that the report sends a strong message that the OIG is closely watching chiropractic services. Read the Full Post >>