Medicare
paid $5.6 billion to 2,600 pharmacies with questionable billings,
including a Kansas drugstore that submitted more than 1,000
prescriptions each for two patients in just one year, government
investigators have found. The new report by the inspector general of
the Health and Human Services department finds the corner drugstore is
vulnerable to fraud, partly because Medicare does not require the
private insurers that deliver prescription benefits to seniors to report
suspicious billing patterns. 'While some pharmacies may be billing
extremely high amounts for legitimate reasons, all warrant further
scrutiny,' said the report being issued Thursday. The analysis broke
new ground by scrutinizing every claim submitted by the nation's 59,000
retail pharmacies during 2009 -- more than 1 billion prescriptions.
Using statistical analysis, investigators were able to reveal...
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