By Darcey Chavez, Communications —
In Miami, Florida nearly 20 people were recently arrested over the course of a week in relation to a multi-million-dollar pharmacy scam. These scams, which defrauded the U.S. government of more than $4 million, have been taking place for almost two years in several local Miami pharmacies. Professional beneficiaries, people who allow their Medicare benefits to be exploited by fraudsters in exchange for financial compensation, were utilized in this scheme. The professional beneficiaries involved received 30 percent of the profits from each medication that was fraudulently billed by either Santander Pharmacy or Wynwood Family Pharmacy Corporation.
Each of these beneficiaries would request medication for a contrived condition at their doctor’s office. The goal was to request the most expensive prescriptions possible. Once the beneficiaries received their written prescription, they took it to Santander Pharmacy or Wynwood Family Pharmacy, owned by the fraudsters, and had it filled. Once it’s requested and billed to Medicare, the pharmacy gets paid and the beneficiary never actually fills or picks up the prescription. The fraudulent pharmacy owners take the money for themselves and divided their “earnings” among the beneficiaries involved.
Although the 19 people orchestrating this particular scheme were caught and arrested, this story opens an interesting topic. Who are we allowing to write, fill and monitor prescriptions? Who are we allowing to take advantage of Medicare? It seems that the process to obtain these privileges needs some tightening up.
EyeDetect® is a next-generation lie detector that detects deception in as little as 15 minutes by measuring involuntary eye behavior. Consider if part of the application for Medicare required an EyeDetect test about criminal history. Consider if doctors and pharmacists were required an annual EyeDetect test in regard to their writing of prescriptions. By prescribing EyeDetect, we could filter out those who are in the business of medicine for the wrong reasons.