Episode 183: Credentialling and Continuity from Plans and PBMs

OIG Roundtable (Formerly Retro Fraud)

Episode 183: Credentialling and Continuity from Plans and PBMs

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Eric and Matt discuss a recent case out of the District of NJ, where a pharmacist and a pharmacy technician were involved in a broad fraud scheme that included falsifying documents in response to an audit, as well as billing for medications for the pharmacist and technician that were never dispensed and billed to their respective insurance.