Thursday, August 17, 2017

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...

Bursting Bubbles

Acupuncture is a form of Chinese medicine that involves sticking needles in specific areas of the body to treat pain. Practitioners believe that by placing the needles in strategic points, a person's energy flow will re-balance. The owner of several rehabilitation clinics in California...

Hands-Off

It would be prudent for doctors to make sure that their billing staff kept detailed patient records, particularly when submitting claims to Medicare. A Houston doctor may have put too much trust into his staff's abilities when he signed off on unnecessary tests for...

Too Pushy

Not many people like to be pushed into something they don't want to do. The owners of three Chicago-area home health care companies pushed their employees to sign up unqualified Medicare beneficiaries for home health care services and the government pushed back hard in...

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