West Virginia Code 33-51-6 – Limitations
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(a) The provisions of this article do not apply to an investigative audit of pharmacy records when:
Terms Used In West Virginia Code 33-51-6
- Fraud: Intentional deception resulting in injury to another.
(1) Fraud, waste, abuse or other intentional misconduct is indicated by physical review or review of claims data or statements; or
(2) Other investigative methods indicate a pharmacy is or has been engaged in criminal wrongdoing, fraud or other intentional or willful misrepresentation.
(b) This article does not supersede any audit requirements established by federal law.