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CVS Pays for Improper Billing

CVS recently settled a suit with the US Attorney’s office for allegedly having a disqualified pharmacist fill prescriptions in their New York and New Jersey stores.  The settlement was for just under one million dollars.  The pharmacist had been excluded from participating in federal programs and CVS failed to pick up on this fact through its current system of background checking prospective employees.

This situation highlights the importance of thorough background checks for all healthcare employees.  These background checks should specifically check the status of the employee with respect to exclusion from any federal programs.  It can be a costly mistake to have an excluded employee bill for otherwise reimbursable services.

Whether you want to review your current compliance protocol, or construct an entirely new compliance program, one of our attorneys can help you navigate the labyrinth of complex healthcare compliance regulations.  Contact a Wachler & Associates attorney at 248-544-0888 or at  

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