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»  Posts By   September 2012 

The Hidden Dark Side of Prescription Discount Cards: What Your Pharmacy Needs to Know

Stating that they will increase pharmacy patients and foster loyal customers, Prescription Discount Card companies encourage pharmacies to utilize and distribute discount card programs and promote their use among patients. While additional patient traffic might be a plus for pharmacies, the discount card companies often hide humungous transactional fees charged to pharmacies per transaction. Because of the complexities of the pharmacy business model in terms of accounts receivable, these charges are...

OIG Approves Free Pre-Authorization Services to Referring Doctors under Certain Circumstances

In OIG Advisory Opinion No.12-10, the OIG approved a radiology provider’s provision of free pre-authorization services to referring sources. The provision of free or discounted services to referral sources implicates the Federal Anti-Kickback Statute (if Medicare/Medicaid patients are involved) or the NJ/NY Anti-Kickback Statute (if private insurance/self-pay patients are involved). In this case, according to the OIG, there were several mitigating factors – safeguards – that reduced the risk of violation...