Tuesday, December 10, 2019

Sounds Like Fraud

A Garland, Texas healthcare administrator recently pleaded guilty to her role in a $5.1 million Medicare fraud conspiracy. The conspiracy stemmed from a family bent on bilking Medicare through the submission of false claims for hearing related services. According to documents filed in the case,...

Medicare Manicures

Ocala podiatrist Dr. Michael Rotstein, 55, pleaded guilty on Monday to one count of healthcare fraud. Rotstein billed Medicare and TRICARE for a service that he called “removal of skin and muscle,” but which federal prosecutors said often was just “routine foot care, including the clipping of toenails.”

Admissions Fraud

College admissions are competitive. (That’s why high school seniors are encouraged to apply to multiple schools with the hopes of getting into at least one of their favorites.) When a Carmel, Indiana woman applied to her favored university and got rejected, she committed student...

A Bad Rap

A research study conducted by The Journal of the American Board of Family Medicine reports that one visit to a chiropractor to treat back pain could save Medicare $83.5 million each year. (These findings are quite astounding, as chiropractic care has historically been controversial...

More than a Slice of Pizza

Today’s “Fraud of the Day” is based on an article entitled, “Wayne Restaurateur Giuseppe DiMeo Guilty In Tax Fraud Case: Feds,” published by Radnor Patch. Giuseppe "Pino" DiMeo, 49, changed his initial not guilty plea to guilty on two counts of conspiring to defraud the IRS and nine counts of filing false tax returns, according to Acting United States Attorney Louis D. Lappen.

When Love and Fraud Collide

When in love, people have been known to do some pretty interesting things. Extravagant gifts, flowers, and romantic getaways aside, today’s fraudster from Cape Girardeau, Missouri demonstrated his love for his fiancée by involving her spinal implant distributorship in a healthcare fraud scheme that...

Decoupling Fraud

The U.S. Justice Department’s Northern District of California announced that former Antioch police officer Gary Bostick and his wife, Ana Bostick, pleaded guilty to their respective roles in a scheme to illegally obtain money from the United States.

You’re Gonna Pay

Payroll taxes are the focus in today’s “Fraud of the Day.” Employees usually pay their share via paycheck deductions and then employers pay the Internal Revenue Service (IRS) an amount based upon the employee’s wages. Today’s fraudster collected his employees’ payroll taxes, but neglected...

Infusion Fraud

An Orlando medical doctor and an infusion clinic owner were sentenced to 64 months in prison and two years supervised release, and 90 months and two years supervised release, respectively, for their roles in a $13.7 million Medicare fraud conspiracy that involved submitting claims for expensive infusion-therapy drugs that were never purchased, never provided and not medically necessary.

Traumatic Fraud

The Social Security Administration’s (SSA) Disability Insurance Benefits Program provides monetary benefits to eligible individuals who have worked and paid taxes. (An individual must be deemed medically disabled and unable to work in order to receive monthly cash benefits). A Shreveport, Louisiana doctor committed Social Security Disability fraud...
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