As part of the ongoing effort to combat fraud, waste, and abuse in the Medicare
Part D program, the Centers for Medicare & Medicaid Services has engaged NBI
MEDIC (Health Integrity LLC), an independent company, in an outreach effort to
request that prescribing physicians verify prescriptions during the course of
an investigation.
When investigating a potential prescription drug fraud and abuse situation, a
key element includes prescriber prescription verification to confirm whether or
not the physician actually wrote the prescription in question. NBI MEDIC
routinely mails the prescribing physician a prescription verification form to
be completed within two weeks.
NBI MEDIC investigators report that no more than 5 to 10 percent of prescribers
respond to these requests. If you are contacted by NBI MEDIC, it is imperative
that you respond to their request for prescription verifications within two
weeks. A timely and complete response to prescription verification helps NBI
MEDIC take appropriate action by confirming or eliminating an allegation of
wrongdoing and/or preventing the payment for fraudulent prescriptions.
For information on how IBC fights fraud, waste, and abuse, visit the
Anti-Fraud page on our website.