Physician, salesperson charged in $12M fraud scheme against insurer

Federal prosecutors accused an Arkansas physician and a medical sales representative of participating in a scheme to defraud Tricare, the U.S. military health insurer, according to The Sentinel-Record.

Joe David May, MD, and Derek Clifton were charged Jan. 10 in a 43-count indictment. According to the indictment, Mr. Clifton sent prefilled prescriptions to Dr. May, who signed off on them for more than 100 beneficiaries he hadn't examined.

Prosecutors said Tricare paid $4.5 million for the prescriptions. In 2015, Tricare paid more than $12 million for prescriptions that were rubber-stamped without patient examinations. 

Read more here.

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