We bring the FAST and laughs to pharmacy.

Monday, April 5, 2010

The lure of the mighty dollar.

This is a story about one of the guys who bought out my father's pharmacy a few years back. It's rather lengthy, but I just can't believe that these idiots threw away all of that school for money. He just got popped doing this:

A Medicaid auditor stopped by unannounced one day at the Rx Shop pharmacy in Clearwater.

Owner Jatin Patel feared he might be caught.

He had been stealing from Medicaid, Medicare and Tricare, the military insurance program, by submitting fraudulent reimbursement requests for prescriptions he never filled.

Somehow, he persuaded the auditor to leave and return the next day.

Then he called two other pharmacists and asked them what to do.

The two, Rajnish Mehta and Satender Singh, had given him the names of beneficiaries he used to submit fraudulent claims for $260,000, Patel later told investigators. He said he split the money with them.

Mehta and Singh arrived the next day with a stack of forged prescriptions to support the claims,according to court documents.

All three men, as well as two other pharmacists, have since been arrested and charged with perpetrating what authorities say is an emerging type of fraud – using fabricated prescriptions to steal from government health insurance programs

Targeted by a regional Medicare Fraud task force, the pharmacists are accused of stealing more than $1.5 million from government insurance programs by submitting hundreds of false prescription claims between 2006 and 2008.

The use of prescription billing to defraud the government is becoming pervasive, especially since the enactment of Medicare Part D, the prescription drug program created in 2006, authorities said.

"The more you look, the more you find," said Ryan Lynch, assistant special agent in charge of the Tampa office of the Office of Inspector General, the law enforcement arm of the U.S. Department of Health and Human Services.

Patel, 37, of Seminole, pleaded guilty to making a false statement to a federal health care program and is serving seven months in federal prison.

He received a lower sentence because his cooperation helped lead to the other arrests, according to the U.S. Attorney's Office.

Mehta, 33, of Trinity, is trying to negotiate a plea deal, his attorney said.

"I don't think he's going to go to trial," said Bjorn Brunvand.

Singh, 34, of Summerfield in Marion County, is awaiting trial, as is pharmacist Naresh Jain, 37, of Trinity
The fifth defendant, Sachin Amin, 35, of Largo, pleaded guilty to two counts of lying to a federal health care program and is serving 18 months in prison. Like Patel, he cooperated with authorities.

After emigrating from India in 1997, Amin built a mini business empire in Pinellas County, including a pharmacy, an assisted living facility, a restaurant and an ice cream franchise.

He used his Madeira Beach Rx Shop pharmacy to fraudulently bill Medicare and Medicaid for more than $738,000 worth of prescriptions he never filled, documents state.

As part of their sentences, Amin and Patel were ordered to repay the money they stole.

Amin also likely faces deportation, said his attorney, Brunvand.

Attorneys for the other pharmacists either couldn't be reached or declined comment.

According to court papers, the five pharmacists have ties to each other.

After interning with Amin at Madeira Beach Rx Shop, Singh worked part time at Patel's Clearwater pharmacy. He then joined with Mehta to open Pasco Pharmacy in New Port Richey.

Mehta and Jain operated the Drugstore Healthmart pharmacy in Hudson, and Mehta and Singh opened Rx Care Pharmacy in Lady Lake in April 2007.

The pharmacists often shared the names of patients who subscribed to government insurance programs, using the names to bill for expensive drugs that were never provided.

Mehta told investigators he stole Tricare patient names from a chain pharmacy where he worked for two years before opening his own business, court records state.

Between November 2007 and September 2008, Mehta submitted 40 claims totaling $25,700 for a Tricare patient for his Port Richey pharmacy, according to a complaint affidavit. Investigators said the patient had never been to Mehta's pharmacy but had gone to the chain where Mehta used to work.

In some cases, authorities say, the pharmacists made up customer names to bill for prescriptions. In other cases, they used the names of their customers to bill for drugs the patients never received.

Lynch said the investigation continues to grow.

"We've identified a new area of fraud in our community," he said. "We're on the cusp of it."


Grumpy, M.D. said...

Scum is everywhere, in all fields. There will always be people who try to find a way to cheat.

Big 'N Tasty RPH said...

This disgusts me more than food stamp fraud because these are licensed health care professionals. I am quite comfortable with the salary I make for el corpo pharmacia and see no reason to need more money. I hate greedy people!

Michael said...

Ah Florida. I live just on the other side of Tampa Bay, going to pharm school down here, and I can't say I'm surprised. This area is so messed up, and half the people who have Rxs filled under their names would ever notice on their statements it's happening. My only guess is how long till people start posting here saying "Get rid of foreign/graduates from other countries" chant.

Anonymous said...

All that school didn't mean much to them because they probably didn't have to pay for it in the first place.

Pharmd Biker said...

Wow, just wow. Was the Rx business doing that bad to warrant doing this? the pharmacy name and license is toast, any chance your family can start another Rx?

Anonymous said...

How stupied. What a disgrace to pharmacist who actually follow the law and actually work for their paycheck just like every other law abiding citizen out there. ITS SOOO fustrating how easy to divert drugs because of GREED. GREED catches up to you, and your just a plain IDIOT if you think you will get away with a 1.5 MILLION $$$ FRAUD. WORK FOR YOUR MONEY THE RIGHT WAY!!!!

John Woolman said...

When I first started getting involved in matters forensic, a senior detective told me that humanity can be divided in three roughly equal fractions; those who will never steal no matter what the temptation, those who will steal at every opportunity and the rest. All that intelligence and education do is make the latter 2/3 of the population more creative in their endeavours. Sad isn't it.

And i still try and see that of God in everyone