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Submission: On May 19 via manual from US — Scanned from US
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Skip to content Medicare UNDERCOVER VIDEO SHOWS HOW PRESCRIPTION DRUGS ARE ADULTERATED AND MISBRANDED IN THE BLACK MARKET SOUTH FLORIDA HAS BECOME THE EPICENTER OF MEDICARE FRAUD, ACCORDING TO THE DEPARTMENT OF HEALTH AND HUMAN SERVICES. THE CRIME, THEY SAY, NOT ONLY COSTS TAXPAYERS BILLIONS OF DOLLARS, BUT OFTEN PUTS PATIENTS' LIVES IN DANGER. BY MYRIAM MASIHY • PUBLISHED MAY 18, 2024 • UPDATED ON MAY 18, 2024 AT 11:17 AM NBC Universal, Inc. Video taken by an undercover government informant shows a woman, her son and husband wiping labels off prescription medication bottles in a South Florida apartment. They use lighter fluid to remove the labels, then reattach the Information packet to the bottles that contain expensive medication including HIV meds that patients chose to sell. Fernando Porras, assistant special agent in charge with the U.S. Department of Health and Human Services’, Office of Inspector General (HHS OIG) says the practice of skipping your HIV meds to sell them is dangerous. “Their viral levels could increase, and they could potentially infect a partner or the population…And for patients that consume medications that were stored under perhaps not the best of conditions, it may affect the quality of the medication,” says Porras. 24/7 South Florida news stream: Watch NBC6 free wherever you are HHS OIG says drug diversion is just one of the ways criminals steal billions of dollars from Medicare each year. “Unfortunately South Florida is the epicenter of Medicare fraud,” states Porras. Drug Diversion Works like this: A patient picks up a prescription valued at thousands of dollars and sells it to an aggregator for a fraction of the price. The buyer, known as an aggregator, removes the label and sells it to a wholesaler who then sells it back to a pharmacy at a discount. “A pharmacy could easily bill the Medicare program two and three million dollars doing this scheme,” Porras says. > Get South Florida local news, weather forecasts and entertainment stories to > your inbox. Sign up for NBC South Florida newsletters. The family from the video was found guilty and served 2-to-3-year prison sentences for Defrauding the United States and Engaging in the Unlicensed Distribution of Prescription Drugs. In another case, Lázaro Hernández pleaded guilty to running an elaborate scheme to distribute more than $230 million dollars’ worth of adulterated and misbranded prescription drugs and sentenced to 15 years behind bars. “Weoften hear about providers, owners of clinics or medical facilities being arrested or indicted. And unfortunately, we've arrested a lot of doctors as well…but it's not uncommon for us to arrest beneficiaries as well for being on the take,” says Porras. HHS OIG stresses it’s important to be on the lookout for these types of schemes. The fraud usually happens when someone bills Medicare for unnecessary equipment, treatments, or prescription drugs. It can also happen when someone offers to pay a Medicare beneficiary to enroll in a program or treatment they don’t need or calls them claiming they are from Medicare and want to send them a free genetic test. INVESTIGATIONS The NBC 6 Investigators get results only on 6 May 3 WOMAN SENTENCED IN DRUG CASE WITHOUT MENTION OF ALLEGED ROLE IN SINALOA-CONNECTED MURDER NBC 6 Investigators Apr 26 BODYCAM VIDEO RAISES QUESTIONS ABOUT POLICE RAID INSIDE HOTEL ROOM IN MIAMI SPRINGS To combat Medicare fraud, HHS OIG asks beneficiaries to be thorough. “We ask them to review their explanation of benefits, although it says it's not a bill, it potentially could indicate whether there's fraudulent activity in their account,” Porras explains. He says if you see fraudulent activity, you should report it to Medicare immediately and if you’re having a hard time reading that document, you can ask it be sent in your language or in bigger font. Read More THIS ARTICLE TAGGED UNDER: Medicare * Facebook * Instagram * TikTok * About NBC 6 * Our News Standards * Submit Tips for Investigations * Newsletters * Contact Us * WTVJ Public Inspection File * WTVJ Accessibility * WTVJ Employment Information * FCC Applications * Terms of Service * Advertise with us * Send Feedback * Privacy Policy * Your Privacy Choices * CA Notice * Ad Choices Copyright © 2024 NBCUniversal Media, LLC. All rights reserved Search for: News Local US & World Weather Weather alerts Hurricane Season Investigations Responds Submit a tip PolitiFact Impact With Jackie Nespral Voices With Jawan Strader South Florida Live Entertainment Traffic Sports Community TV Listings Contests About NBC 6 Our News Standards Submit a Consumer Complaint Submit Photos and Video Contests Our Apps Newsletters Cozi TV Contact Us Close the sidebar Exit mobile version