2015 Annual Training Conference & Anti-Fraud Expo

Marketing Schemes: Compounding Pharmacies (Room Grand D)

18 Nov 15
11:00 AM - 12:00 PM

Tracks: Law Enforcement Path, Pharmacy & Part D Fraud

This workshop will address a serious trend emerging in the area of compounding pharmacies - namely the substantial increase in prescriptions for so-called pain and scar creams to Medicare, Medicaid, Tricare, and private insurance patients. In this scheme when the patients. have not been seen by the providing physician/ARNP but have rather been 'cold-called' by a third-party marketing firm that links the patient with a pre-selected provider. The workshop will explore how marketing firms pay kickbacks to recruiters and how to develop a criminal case implicating the Anti-Kickback and HCF statutes.