This week, it was announced that Mississippi-based nurse practitioner had pleaded guilty to her involvement in a scheme to defraud health care benefit programs, including TRICARE. 58-year-old Susan K. Perry of Grand Bay, Alabama pleaded guilty to one count of conspiracy to commit health care fraud. The defendant is scheduled to be sentenced on September 20, 2018. She was charged in a 13-count indictment and had been scheduled to go on trial on June 26, 2018.
The defendant admitted to her role in a scheme to defraud health care benefit programs by prescribing medically unnecessary compounded medications to individuals who did not need the medications. The medications were often prescribed without first examining these individuals. Perry confessed that she knew that Advantage Pharmacy, which was based out of Hattiesburg, Mississippi, would submit claims for reimbursement to health care programs for compounded medications on prescriptions she signed. She also knew that the programs would pay for the claims.
From roughly January 2014 to April of 2015, the health care programs reimbursed Advantage Pharmacy approximately $1,375,692 based on the claims submitted by the pharmacy in relation to the compounded medications that Perry prescribed. Further details have been made available here.