Medicare Compliance & Reimbursement
Providers Blow It With Ihnalant Overpricing
Defrauding Medicaid for 11 years - and millions of dollars - can stir up several lawsuits.
Competing Delaware drug companies Dey Inc. and Warrick Pharmaceuticals Corp. face penalties and triple damages for allegedly exaggerating reported drug prices to the Missouri Medicaid program, according to a May 11 Missouri Attorney General press release. The two companies fought intense legal battles in other states as well, the AG says.
Medicaid paid $15 million more than it should have to reimburse the two drug companies during the past 11 years, the state AG alleges. The drugmakers purportedly overpriced mostly generic brand inhalants used for respiratory conditions that they sold to Medicaid-participating pharmacies.
How? Dey's and Warrick's higher average wholesale prices for Albuterol, Albuterol Sulfate and Ipratropium Bromide led to increased Medicaid reimbursement, giving pharmacies more incentive to dispense the companies' drugs, the AG alleges.
To read the press release, go to http://www.ago.state.mo.us/newsreleases/2005/051105.htm.
Medicare Compliance & Reimbursement
- ASC:
CMS Expands Procedure List By 60
More procedures will be covered in ASCs, and planned cuts are canceled.
Pressure from ambulatory surgery [...] - Long-Term Care:
Report: Action Needed To Avert Geriatric Care Crisis
Payment system discourages medical students from geriatric path.
While the U.S. population is aging rapidly, medical [...] - Long-Term Care:
Medicare Payments On Uptick Despite Debate
MedPAC's cautions all but ignored in new rule.
The Medicare Payment Advisory Commission suspects that the [...] - Pharmaceuticals:
CAP Shouldn't Require Exact Date Of Drug Admin
Associations object to 'radical' change in drug-billing window.
Now that the Centers for Medicare and Medicaid [...] - Hospitals:
Hot Specialty Hospital Issue Just Got Hotter
New bill would prohibit physician investor increases in 'grandfathered' specialty hospitals.
Just weeks away from the [...] - Physicians:
RAC Letters May Slip Through The Cracks
CMS will try to contact providers when it sends letters.
Given the high non-response rate to [...] - Physicians:
Know How To Cope With Altered Documentation
Tips for action when someone makes unauthorized revisions.
Physicians who suspect that someone in their practice [...] - Rehab:
75-Percent Rule Report May Up Admissions Scrutiny
Proposed refining of covered IRF diagnoses 'disappoints' some.
The long-awaited report from the Government Accountability [...] - Rehab:
Medicare Clarifies Tricky Therapy Supervision Issue
Physician must certify plan of care each month.
Providers confused about how to supervise therapists providing [...] - Enforcement Watch:
Providers Blow It With Ihnalant Overpricing
Giving free samples and rebates to pharmacies? It's not the best idea.
Defrauding Medicaid for 11 [...] - Home Health:
Associations Team Up To Alleviate OT Headaches
If CMS makes OT a qualifying service, scheduling could get a whole lot easier.
A pair [...] - Bill Watch
The following bills were introduced in the House: H.R. 2257. A bill to amend title [...] - Rehab:
Medicare Seeing Vision Demo Through
Project will give rehab pros more equity. Later this year, the Centers for Medicare and [...]
