Wednesday, October 18, 2017

Putting the Brakes on Fraud

There are a variety of ways to commit Medicare fraud including billing for unnecessary services or services not provided, up-coding or double-billing, or offering or accepting kickbacks, just to name a few. Today 's fraudsters, who were man and wife, tried a different tactic...

Should Have Known Better

Sometimes, people are oblivious that they are doing something wrong. Then, there are folks who know what they are doing is wrong, and continue to do it anyway. The latter is the case for an Ohio woman and her son who ran two home...

Loaded Diapers

Diapers have been known to hold a lot, and a mother-daughter team decided to use them to hold something a little different. The diaper duo concealed approximately $2.4 million in cash in diapers and baby towels that were hidden in their luggage on a...

Three-Ring Circus

Three-ring circuses are famous for having multiple performing acts going on at the same time. Similarly, a healthcare clinic manager ran a Medicaid and Medicare fraud ring at three clinics across New York City. Just as it can be hard to focus in on...

At Risk

There's no doubt that fraud puts the integrity of taxpayer-funded health care programs at risk. And when at-risk children are victimized in the process, you can bet that the government will not hesitate to go after those responsible for the crime. That's what happened...

There’s No Substitute for Hard Work

There are occasions when it's o.k. to have a substitute. For example, when a teacher is sick it is acceptable to bring in a substitute teacher to lead a class until the regular teacher can return. (But when emergency services are involved, you don't...

Footing the Fraud Bill

Podiatrists have a complicated and sometimes unpleasant job when it comes to the diagnosis and treatment of more than 26 bones, over 100 muscles, tendons and ligaments and 33 joints in the foot. A podiatrist in Pennsylvania used his patients to take a load...

Not Quite Right

If a doctor's practice, home health care company or medical supply company has to pay a recruiter to bring in patients, then you can be sure that something is not quite right. (You can almost bet that Medicare or Medicaid fraud is going on.)...

Take Care

Registered nurses (RNs) perform a variety of duties for their patients, including performing physical exams, taking health histories, giving medication, and taking care of wounds just to name a few. They are also responsible for understanding important health information and making critical decisions about...

All Fraud Must Come to an End

Hospice services are for people who are facing a terminal illness. A team of doctors, nurses, hospice aides, counselors and volunteers usually work together to provide the best quality of life possible for those facing the end of their lives. Today's ''Fraud of the...

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