Title of Press Release
“ Rogers Physician Pleads Guilty To Distribution of A Controlled Substance Without An Effective Prescription”
Summary of Press Release
This case involves a medical practitioner who distributed controlled drugs to patients without an effective prescription (Justice.gov, 2020). The doctor involved in this illegal act is called Dr. Robin Ann Cox. The doctor was employed at the Arkansas Medical Clinic, where the owner of the facility telephoned the DEA to report fraudulent activities taking place in the Clinic. The prescription for the patients was not accurate and was written at the parking lot of a restaurant instead of being written at the clinic.
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Title of Federal Fraud and Abuse Law
The Exclusion Statute
Summary of Federal Fraud and Abuse Law
The Exclusion Statute stipulates that the Department of Health and Human Services to exclude health practitioners as well as suppliers who have been found guilty of certain crimes from participating in health programs (Oig.hhs.gov, 2020). Programs like Medicaid, Veterans, Health Administration, Medicare, and TRICARE will not be permitted to pay or services provided by convicted health practitioners. Crimes un der the Exclusion Statute include Medicare fraud and abuse or neglect of a patient. Also, the medical practitioner would have committed crimes such as financial misconduct or unlawful production, prescription, and distribution of controlled substances.
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I will collect evidence to prove that I was asked to participate in fraudulent activity is a crucial step (Todd, 2020). This activity involves safeguarding evidence electronically or on papers. This evidence will be useful in a court of law. In fraudulent activities, one needs to seek the help of investigators from out of the company; this could be forensic specialist would help analyze the data stored by the mastermind of fraud in a health facility. Also, the medical practitioner who is suspected of fraud should not be fired since firing will tamper with the collection of evidence. Insurances providers such as Medicaid and Medicare should be informed to prevent funding of the services provided by the fraudulent individual.
References
Justice.gov. (2020). Rogers Physician Pleads Guilty To Distribution Of A Controlled Substance Without An Effective Prescription . Justice.gov. Retrieved 11 May 2020, from https://www.justice.gov/usao-wdar/pr/rogers-physician-pleads-guilty-distribution-controlled-substance-without-effective.
Oig.hhs.gov. (2020). Fraud & Abuse Laws | Physician Roadmap | Compliance | Office of Inspector General | U.S. Department of Health and Human Services . Oig.hhs.gov. Retrieved 11 May 2020, from https://oig.hhs.gov/compliance/physician-education/01laws.asp.
Todd, K. (2020). You Found Fraud, Now What? 5 Steps to Immediately Take After Suspecting Fraud in Your Company — ACFE Insights . ACFE Insights. Retrieved 11 May 2020, from https://www.acfeinsights.com/acfe-insights/2017/10/18/5-steps-to-immediately-take-after-suspecting-fraud-in-your-company.
