Saturday, July 21, 2018

Undercover Surveillance

When you think of surveillance, a non-descript white van or black sedan with tinted windows parked by the curb might come to mind. While a story reported in the Brooklyn Daily Eagle doesn't exactly give details on how the surveillance was conducted, however,...

Getting In On the Action

Whenever easy money is to be had, opportunists usually abound. An article published on EHRIntelligence.com describes a huge Medicare fraud scheme where seven people got in on the action to bilk the benefits program of $97 million. (That's quite an enormous amount of...

House Call

Back in the early to mid-20th century, house calls by doctors were considered a common practice, especially in rural areas. Today, house calls are usually reserved for those who are unable to get to the doctor's office and are performed by home health...

What about the Victim?

When a fraudster commits a crime against a victim, the victim is harmed and suffers a tangible loss. To help compensate victims for their loss, the Crime Victims Fund was established by the Victims of Crime Act of 1984. Fund dollars are...

False Advertising

False advertising is an unethical sales tactic used to encourage consumers to engage in a transaction they might otherwise pass up. As reported in the Times Ledger, today's ''Fraud of the Day'' describes how a doctor in New York used false advertising to...

A Trail of Deception

Where there is fraud, there is deception. Criminals attempt to deceive their victims by making things appear to be authentic, when in reality they are not. The News-Press details the story of two fraudsters who deceived Medicare by billing for more than...

What a Sham

A sham is something that is not what it appears to be. It's usually required to commit fraud. The Courier-Journal reports on the owners of two bogus medical supply companies who tried to bilk Medicare of approximately $4 million in fraudulent claims....

Fraud Chasers

The term ambulance chaser refers to an aggressive lawyer who pursues and represents accident victims in personal injury cases. The Lebanon Democrat & Wilson County News reports on a story about the owners of an ambulance transportation service who chased down a few...

Blowing the Whistle on Fraud

It pays to be a whistleblower, especially for health care professionals who want to stop fraud, waste and abuse within the Medicare benefits program. Whistleblowers are entitled to earn a significant financial reward for reporting fraudulent crimes against the government within the health...

A Cell without a View

There are a variety of Medicare fraud and abuse laws on the books. If violated, penalties include nonpayment of claims, monetary penalties and exclusion from participation in the Medicare Program, as well as criminal or civil liability. One of these laws is...

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