Case Result: Our Lawyers Use Medical Records to Show Pharmacy Suspected of Healthcare Fraud Didn’t Overbill for Meds

Business:
Pharmacy

Primary issue:
A health insurance company had suspected that client pharmacy committed healthcare fraud through overbilling for medications that were not medically necessary or had not been received by the patient. Client was subsequently reported to the Florida Department of Health (DOH).

Argument:
Chapman Law Group was retained to handle both the health insurance audit and the DOH referral. We were able to obtain, and provide DOH with, all relevant medical records including information about the insurance audit to prove that there was no fraud.

Result:
The DOH ultimately dismissed the case for lack of probable cause.

Areas of Law:
Department of Health Investigations & Complaints
Healthcare Fraud

Disclaimer:
This information is a sample of our past results. Prospective clients may not obtain the same or similar results. Every case is different and each case must be evaluated and handled on its own merits. The circumstances of your case may differ from the results provided. The information provided has not been reviewed or approved by the State Bar.

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