Articles Tagged with overprescribing

IMG_0350-300x200Scott Roix, as well as HealthRight, LLC, Health Savings Solutions, LLC, Vici Marketing, LLC, and Vici Marketing Group, LLC, have agreed to pay $2.5 million to resolve allegations that they violated the False Claims Act through their telemedicine scheme.

According to the Department of Justice, Roix and the marketing companies fraudulently obtained insurance coverage information from patients with the purpose of prescribing them unnecessary pain cream products. The defendants then sold the prescriptions to numerous pharmacies, profiting from payments that were determined by the volume and value of the prescriptions. Roix and the marketing companies disguised the sale of these prescriptions by noting them as marketing services in their financial records.

As part of the telemedicine scheme, Roix and the marketing companies targeted consumers across the country, convincing them to divulge their insurance information to what they thought was a trusted entity. This scheme represents one of many attempts by scammers to utilize telemedicine for fraudulent activities. The elderly community is particularly prone to this method of fraud, and as a result has been impacted significantly.

IMG_0264-1-300x200Dr. Patrick Ifediba, 60, and his sister, Ngozi Ozuligbo, were convicted for health care fraud, unlawful drug distribution, and money laundering revolving around a massive scheme that garnered nearly $8 million in fraudulent funds.

According to the Department of Justice, Ifediba was operating as a doctor of internal medicine and the owner of Care Complete Medical Clinic (CCMC). Evidence presented at trial showed that Ifediba used the facility as a “pill mill”, regularly prescribing a range of highly addictive opioids with the goal of creating repeat office visits for their renewal. The trial found that Ifediba not only overprescribed the drugs intentionally but also offered dangerous combinations of the drugs. One of these combinations was referred to as “the holy trinity” and was known for creating a high similar to that of heroin. The high risk of overdose using this cocktail was well-known, yet continued to be prescribed by Ifediba routinely.

In total, 85% of Ifediba’s patients were written prescriptions for opioids, despite the fact that Ifediba was not a pain specialist and CCMC was not operating as a pain management facility.