As Strike Force Cracks Down on Distribution of Controlled Substances, Compliance Programs are Crucial for Healthcare Providers

An image of prescription pills and the letters "RX" representing RX fraud, and how our firms defend physicians accused of RX fraud.

Since the U.S. Department of Justice’s Criminal Division created the Appalachian Regional Prescription Opioid (ARPO) Strike Force, which focuses on illegal opioid prescriptions, it has proven formidable. 

In April 2019, the ARPO federal prosecutor charged over 60 physicians and pharmacists for illegally prescribing opioids to patients who didn’t require them, making it the largest crackdown of its kind.

In the Appalachian region  including Ohio, Kentucky, Tennessee, West Virginia, and Alabama — as many as 32 million illegal prescription pain pills have been distributed to patients over the course of the investigation, with prosecutors refer to the providers as “white-coated drug dealers.” 

ARPO has two methods for catching “pill mill” operations. Investigators track prescription data monitoring programs and Medicaid billing to identify who prescribes abnormally high amounts of pain medications. From this point, investigators send in undercover agents, perform raids, and charge providers.

This task force is a joint law enforcement effort that will bring a variety of resources and expertise together to fight the overprescribing crisis, including the Health Care Fraud Unit in the Criminal Division’s Fraud Section (HCF Unit); the U.S. Attorney’s Offices in nine federal districts and five different states; the FBI, U.S. Department of Health and Human Services Office of the Inspector General (HHS-OIG), and the U.S. Drug Enforcement Administration (DEA). 

The task forces are specifically looking for fraud relating to suboxone prescribing, methadone prescribing, DATA waiver prescribing fraud, OTP (opioid treatment program) prescribing, and NTP (narcotic treatment program) prescribing. There is a strong crackdown on these areas; many providers are getting complaints or are being accused of overprescribing and facing investigations.

How Can You Protect Your Practice? With a Compliance Program

The overall mission of the ARPO Strike Force and the Medicare Fraud Strike Force is to investigate healthcare fraud schemes in the region and surrounding areas. With many resources available and a goal to crack down on overprescribing, it is likely that many providers will be targeted. If a healthcare entity is to be proactive, it is critical that it develop and maintain a company compliance program containing policies and procedures.

If you have a compliance program that pre-dates the investigation, the government will take that into consideration before issuing fines and criminal charges. A compliance program will reduce your culpability score and, in many cases, prevent such incidents from happening. Complying and self-reporting will help employees identify and prevent these issues before they develop into allegations and complaints.

At Chapman Law Group, Our National Healthcare Fraud, Criminal Law and Compliance Attorneys Are Here for You

Some healthcare entity compliance programs do not consider the full scope of investigations and often are not enforced or well understood. And if you are a physiciandentistpharmacistpain management specialistchiropractor, or another licensed medical professional, you need a thorough, well-understood compliance program.

For more than three decades, we have provided top legal service for licensed healthcare professionals across the U.S. Our national health care defense law offices are in Detroit, Michigan; Miami and Sarasota, Florida; and Los Angeles/Southern California.

If you are facing overprescribing allegations or are concerned about your current compliance program, call the national healthcare fraud defense lawyers at Chapman Law Group today for a consultation.

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