CMS must do more to stop Medicare Part D fraud, OIG says – Modern Healthcare

Two new federal reports shine a light on questionable billing patterns across the country in regards to Medicare Part D and urge the CMS to do more to protect the program.

The reports, released Tuesday by HHS’ Office of Inspector General, come days after federal officials announced charges against 44 people across the country for fraud in Medicare Part D, which is Medicare’s drug benefit program. Those charges represented the first large-scale, federal effort to focus on Medicare Part D fraud—an effort many say is likely to continue.

One of the reports (PDF) released Tuesday shows that more than 1,400 pharmacies had questionable billings for opioid drugs, and a number of cities had higher than average billings for certain medications last year. The second report (PDF) calls on the CMS to implement more of the OIG’s recommendations for fighting fraud and abuse in Part D.

Source: CMS must do more to stop Medicare Part D fraud, OIG says – Modern Healthcare