Wednesday, October 18, 2017

Old-fashioned Idea, Newfangled Fraud

Physician house calls are an old-fashioned idea, but Medicare has turned to them to help the government health care program save money in the 21st century. While a key study shows that home health care has saved 17 percent in health care spending by...

Taking A Chance

The patients received kickbacks for visiting the clinics where they took sleep and stress tests that were administered by unlicensed and unsupervised personnel. (So people who didn’t know what they were doing gave tests that were not needed. That’s a bit scary.) The two...

The Nerve of Them

Fraudsters have some nerve to think that they can steal from government health care programs and get away with it. A Detroit-area doctor and owner of a medical billing company were quite confident in their abilities to steal $28 million from Medicare, but fortunately...

Hiding in Plain Sight

Criminals who commit fraud are adept at hiding it in plain sight. Today 's fraudster and her son hid their fraudulent actions behind her high-profile position as owner of a respected home health care company and founder of a related charity. (Sometimes the bigger...

At Home with Fraud

To say that someone is "at home" with doing something means that they are comfortable with their actions. Today 's "Fraud of the Day" covers four New Orleans doctors and two others who worked for a home health care company. They were "at home"...

Promises, Promises

It is common for deceptive medical professionals to offer treatments or cures to Medicaid or Medicare patients, then bill the government insurance programs for services that were not medically necessary or not provided. A former Philadelphia-area podiatrist, who took a Hippocratic Oath promising to...

Getting What Is Deserved

Hospice services are intended to help a person who has a terminal illness be more comfortable in their final days. During this difficult time as families plan for the death of their loved one, they rely upon hospice to help negotiate the inevitable. A...

Endangering Lives

The government takes fraud very seriously, especially when it involves endangering the lives of American citizens. For more than six years, a Florida dermatologist operated a sophisticated scheme to steal $49 million from two government medical benefits programs – Medicare and Tricare. In the...

Up-Charge

There are many types of salesmen known for luring customers in with an offer that can't be refused. Before you know it, you have agreed to buy a product with more features than you need and you've paid an up-charge that has busted your...

FISHing for Fraud

Sometimes it's better not to be number one. Being number one is usually associated with being a winner, but in today's ''Fraud of the Day,'' a Florida urologist who was deemed the number one referring physician in the country for a particular type of...

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