Can Non-Physicians Serve Prison Time for Healthcare Fraud?


Healthcare fraud is not a crime reserved for physicians.

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In Michigan, a pharmaceutical sales representative was sentenced to a year and one day in prison for defrauding Michigan State University of $1.2 Million for compounded drug prescriptions. 

The sales representative solicited local physicians to sign prescriptions for expensive and unnecessary pain cream and patches. 

The pharmacies paid the drug representative for sending them the prescriptions then charged MSU’s health plan for each prescription. 

MSU was charged between $2,000 and $3,000 for each prescription. 

It is clear from the above example that no one is exempt from healthcare fraud charges. 

This is why it is essential to make sure that no matter your position at a healthcare entity, you are compliant with all laws and regulations. 

Healthcare entities must prioritize their compliance plans to ensure their billing is accurate. 

We help our clients perform thorough HIPAA and Compliance Risk Assessments to make sure that their operations are legal and secure. 

It is essential that healthcare practices have a way for employees to anonymously report any concerns, as this can prevent employees from reporting externally even if there is just a misunderstanding. If an employee feels that their voice is heard and their concerns are adequately investigated and addressed, healthcare entities can improve practices and avoid costly fines. 

If you need help making sure your office is protected and has appropriate reporting channels in place, contact us today.

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