A pharmacy in Lakewood has agreed to repay $878,083 to the Medicaid program after failing to file more than 13,000 invoices over a three-year period, authorities said.
The settlement agreement with Madison Avenue Pharmacy does not include any admission or finding of wrongdoing, according to the Office of the State Comptroller.
Between January 2013 to February 2016, the pharmacy submitted 13,124 claims for pharmaceutical products provided to Medicaid patients without providing the purchase invoices, resulting in an overpayment of more than $1.4 million, the comptroller’s office said.
The pharmacy later provided some documentation, resulting in the pharmacy being credited with $538,744, the comptroller’s office said.
“The pharmacy inventory investigations that we routinely conduct ensure that Medicaid funds are being spent appropriately,” Comptroller Phillip Degman said in a statement. “Through this process, our investigators verify that submitted claims are supported by proper documentation. When the pharmacy cannot provide sufficient documentation, we will act aggressively to pursue a recovery on behalf of the Medicaid program.”
A phone message left with the pharmacy on Sunday was not immediately returned.
The settlement was signed Nov. 8 and announced Thursday by the comptroller’s office.
The settlement is unrelated to the investigation that led to 26 arrests in Lakewood on Medicaid fraud charges in June and the subsequent launch of an amnesty program, according to APP.com.