Saturday, December 16, 2017

Signing Off On Fraud

Before signing your name, it’s really important to know exactly what you are agreeing to. An Iowa physician signed off on more than 1,000 prescriptions that caused Tricare, the healthcare program for America’s military members, to be billed for more than $4.4 million in...

Guest Writer Louis Saccoccio

The United States currently spends $2.7 trillion on health care each year, generating billions of claims in the private and public health systems. With the estimates for fraud and abuse in our health care system ranging from 3 to 10 percent of expenditures, this...

Adjusting to Fraud

Children like pretend play. They can be whomever they like including warriors, princesses, veterinarians or even grocery store clerks. (I doubt many kids pretend to be a fraudster.) At some point, they grow out of that stage and move on to reality. ...

Reversal of Fortune

Some nine million members and veterans of the nation’s military services receive medical coverage from a U.S. government program called TRICARE. It’s a system built on trust — making it an easy mark for seasoned South Florida pharmacist Serge Francois, prosecutors say. Francois, 51, stood trial over the past month on charges of fleecing tens of millions from the taxpayer-funded military program to buy the former Broward County mansion of Hollywood megastar Dwayne “The Rock” Johnson.

Say It Isn’t So

Speech therapists diagnose and treat patients that have communication and swallowing disorders resulting from strokes, brain injuries, hearing loss, developmental delays or other problems. Their job is to create and implement a treatment plan that will improve the patient's quality of life. An article...

Home is Where the Health Care Fraud Is

In-home doctor visits are beneficial for housebound Medicare recipients. (House calls also are an easy way for unscrupulous doctors to illegally bill for services that were not performed or medically necessary.) An article published by The Detroit News states that a Michigan doctor used...

When Good Role Models Go Bad

Positive role models are supposed to provide a good example. (They are badly needed today, especially in areas where there are disadvantaged youth.) A press release from the Commonwealth of Virginia Office of the Attorney General details the story of a positive role model...

Intercepting Fraud

Interceptions are good if you are rooting for the losing team who catches a misdirected pass with five seconds to go and runs the ball 90 yards for a touchdown that wins the game. A press release from the Department of Justice details...

Free Ride

It is estimated that Medicaid fraud costs American taxpayers approximately $80 billion per year. A portion of that tab can be traced to fraudulent ambulance transport providers, who are supposed to provide a ride to qualified beneficiaries requiring medical services. An article...

Stop the Bleeding in Health Insurance Exchange Fraud

The Affordable Care Act (ACA) has provided millions of Americans an opportunity to get health insurance and has generated positive benefits for insurers, as well. However, the way that people now purchase health care plans – through online health care exchanges – has opened...

Get Your Fraud Fix!

Five days a week wake up to the most current fraud article in your mailbox.