Julie Malida

  • Fraud: The Best Offense is a Good Defense

    A pharmacist takes a 30-day prescription and inputs it as four weekly prescriptions - quadrupling the Medicaid dispensing fee; a fraud ring obtains a list of Medicare patients who recently underwent hospital outpatient procedures and starts submitting phony claims, threatening the lives of parties who expose the scheme; the local news reports that five teachers who find a pharmacy to dispense large prescriptions for narcotics covered under the school health plan subsequently sell the drugs. What do these three stories have in common? They are all real fraud incidents.