FRAUD/ABUSE

1.The Food and Drug Administration’s new policy proposal on repackaging drugs is being met with great opposition by the Long Term Care industry. The proposed policy puts new regulations on re-packaging time frames and where the packing takes place, creating a direct impact on the standard level of care required by Medicare and Medicaid. The CEO of the Senior Care Pharmacy Coalition submitted a detailed analysis and opposition letter to the FDA for consideration when drafting the final new policy provisions.

See following link: http://seniorcarepharmacies.org/wp-content/uploads/2015/12/SCPC-Letter-to-Jane-Axelrad-12-22-15.pdf

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FRAUD/ABUSE

FRAUD/ABUSE

Masoncare’s Wallingford nursing home has been named in a lawsuit filed by a former employee of third party vendor, Clinical Laboratory Partners (“CLP”), alleging that she was fired in retaliation for reporting a coworker who was videotaping residents and showing the videos to other employees. Interestingly, CLP was not named in the lawsuit even though Masonicare’s attorneys claim that all employees named in the lawsuit worked for CLP.

http://www.myrecordjournal.com/news/state/8904831-154/lawsuit-claims-retaliation-after-report-of-wallingford-nursing-home-residents.html

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FRAUD/ABUSE

FRAUD/ABUSE

Office of Inspector General recently reported to Congress on its success in protecting the integrity of the Health and Human Services Program initiative to prevent fraud, waste and abuse. HHS recovered an estimated $2.77 billion in fraudulent payments during the first half of the 2016 fiscal year. The OIG report lists fraud cases in the long-term care realm among its recovery highlights.

Please visit: http://www.mcknights.com/news/oig-healthcare-fraud-abuse-recoveries-up-1-billion-in-2016/article/500256/?DCMP=EMC-MCK_Daily&spMailingID=14634790&spUserID=MjQ0MjEyNTAxNzY3S0&spJobID=800077286&spReportId=ODAwMDc3Mjg2S0

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