New York Pharmacist

NY 2011 Independent Pharmacies

OIG Medicaid Fraud

Penalty

$2.7 million

Outcome

OIG enforcement action against New York Pharmacist for medicaid fraud. Penalty: $2.7 million.

Details

New York Pharmacist — OIG Enforcement (2011)

OIG took enforcement action against New York Pharmacist in NY in 2011 involving medicaid fraud violations in the Independent Pharmacies sector.

Penalty: $2.7 million

Violation types: Medicaid Fraud
Entity type: Pharmacy
Penalty type: Criminal
Location: NY

Source: New York Pharmacist Pleads Guilty To Medicare And Medicaid Fraud And Tax Fraud

How Crucible Prevents This

Crucible's billing compliance controls enforce documentation-to-claims reconciliation, requiring clinical attestation before claims submission and flagging billing patterns that deviate from documented care delivery.

Source: New York Pharmacist Pleads Guilty To Medicare And Medicaid Fraud And Tax Fraud

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