
California is again leading the charge against large-scale identity theft and hospice fraud. Today, we're taking decisive action against 14 providers who tried using stolen identities to bill Medi-Cal for nonexistent hospice services.
Fed Up Pharmacist
4.1K posts

@drfeduprx
Take back our profession!

California is again leading the charge against large-scale identity theft and hospice fraud. Today, we're taking decisive action against 14 providers who tried using stolen identities to bill Medi-Cal for nonexistent hospice services.







How much are 2 tablets of diazepam worth to a patient who needs to relax before a procedure? Apparently, to the insurance company @AmbetterHealth - itโs only worth 15 CENTS. Although Iโm sure they are getting billed much higher than that, but their PBM CVS Caremark @CVSHealth, is only passing through this piddly amount to the pharmacy. **Side note: it costs the pharmacy 18 CENTS just for receiving this prescription electronically, as required by law. So, we already lost before we even touched the prescription. Thanks to the ACA, this plan will continue to churn out more bullshit claims like this.













๐จ๐๐ก๐๐ซ๐ฆ๐๐๐ฒ ๐๐๐ฌ๐๐ซ๐ญ ๐๐ฅ๐๐ซ๐ญ๐จ๐๐๐ญ๐ข๐๐ง๐ญ๐ฌ ๐ญ๐จ ๐๐ซ๐๐ฏ๐๐ฅ ๐๐ ๐ฆ๐ข๐ฅ๐๐ฌ ๐๐๐ญ๐๐ซ ๐๐๐ฑ๐๐ฌ ๐๐ก๐๐ซ๐ฆ๐๐๐ฒ ๐๐ฅ๐จ๐ฌ๐๐ฌ ๐๐๐๐โ๐๐ ๐ท๐๐ข๐ ๐๐ ๐๐๐๐โ๐๐ , ๐๐ ๐๐๐๐ ๐๐ ๐กโ๐๐ ๐น๐๐๐๐๐ฆ, ๐๐๐๐๐๐๐ ๐๐๐ก๐๐๐๐ก๐ ๐ก๐ ๐๐๐๐ฃ๐ 30 ๐๐๐๐๐ ๐๐๐โ ๐ค๐๐ฆ ๐ก๐ ๐๐๐ก ๐กโ๐๐๐ ๐๐๐๐๐๐๐๐. Access to care shouldnโt depend on a 30-mile drive. When pharmacies close, patient access and patient safety are put at risk across Texas communities. This is why we fightโto protect patients who deserve local, reliable care. #txlege




Patient paying over $90 a month to have Part-D coverage through @SilverScriptPDP Needs an antibiotic filled for #28 tabs of doxycycline. โInsuranceโ contributes nothing. Full price of $1.61 copay for the patient. Leaving a $0.17 profit margin for the pharmacy to dispense, counsel, run interaction checks with other medications, pay overhead, pay staff, etcโฆ Not going to cut it @SilverScriptPDP Why are people continuing to pay their premiums to these scam artists? Oh, because if you donโt carry Part D coverage, the government starts to penalize you every year that you donโt have coverage. We need better options for our seniors. This is utter bullshit.

Virginia independent pharmacists plead with Sen. Tim Kaine for relief from #PBM under reimbursements. | @WAVY_News ow.ly/Y7QA50YCiJ2

