New Fraud Oversight Unveiled For Medicare Part D

Law360, New York (January 7, 2014, 3:33 PM EST) -- In a significant anti-fraud push, federal regulators said Monday they will close a loophole that allows doctors not enrolled in Medicare to have drugs covered under Medicare Part D and will blacklist physicians whose prescribing practices are reckless.

The announcement, included as part of a 678-page proposed rule, follows two inspector general reports last year that showed Medicare Part D was paying for drugs written by practitioners who either lacked proper credentials or wrote unusually large amounts of prescriptions for addictive painkillers.

The requirement to enroll...
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