New analysis of commercial insurance claims for 11.6 million individuals and dependents at 150 large employers finds six types of fraudulent or wasteful claims result in $122.6 million in annual overpayments.

These claims cost employers $4.93 per member per year in unnecessary payments, according to study author Truven Health Analytics. The causes and costs for the studied employers:

* More than 20 percent of patients receiving Schedule II drugs had no associated medical care for 90 days prior to getting the prescription, at a cost of $84.3 million. These drugs include Vicodin, Oxycodone, Cocaine, Morphine and Ritalin, among others.

* Almost one percent of patients prescribed Schedule II prescriptions get a refill, which is prohibited under federal law, costing $5.2 million.

* Inappropriate visits labeled “new patient” visits cost $18.5 million annually.

* Improper distribution of diabetic supplies costs $8 million, with 7.4 percent of patients getting such supplies having no diagnosis of diabetes.

* Unbundled psychotherapy and drug management services, which should be billed together, cost $5.3 million.

* Nearly five percent of medical transport costs had no associated medical visit, costing $1.3 million.

The study is available here, registration is required.

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