Friday, February 28, 2020

Home Health Fraud & Kickbacks

Four Los Angeles-area residents went from running healthcare businesses to serving time behind bars for their roles in a healthcare fraud scheme that stole at least $22 million from Medicare. A 43-year-old woman and a 61-year-old man were the owners and operators of Fifth Avenue...

Tithe or Tax?

Two brothers formerly of Utah, who claimed to be tax preparers, were sentenced to two years in prison each for conspiracy to file false tax claims. The brothers filed over 700 false tax returns for themselves and for others over six years, according to...

Follow the Rules!

It’s not uncommon for healthcare providers to get caught not following healthcare laws regulating prescription medications and billing to Medicaid and Medicare. And when they do, the penalties are often steep. An Ashland, K.Y., physician learned this the hard way after settling civil claims...

Not So Charitable

A non-profit group paying drug co-pays for seriously ill people may appear to be charitable. But when an organization makes the payments as kickbacks for highly competitive pharmaceutical companies, it undermines federal laws designed to help patients and indicates Medicare fraud. The U.S. Justice Department...

Family Affair

Public assistance programs, such as the Supplemental Nutrition Assistance Program, use taxpayer dollars to help the neediest among us get through hard times. It’s part of the safety net that makes for a civilized society—something all Americans are entitled to when their income falls...

Foot Cream and Kickbacks

Fraud cases against government healthcare programs often involve a deep well of people all too willing to scam the program for their personal gain, taking scarce resources from legitimate recipients of Medicare and other programs. That’s been the case with an Oklahoma-based compounding pharmacy,...

Hypocrite

Depending on the labor and ingredients required, costs for compounded medications can be quite expensive. A Georgia podiatrist committed healthcare fraud by participating in a kickback scheme that generated patients who supposedly needed compounded medications. He collaborated with a pharmacy, who billed the unnecessary...

Definition of Helping

A couple who owned and operated a small convenience store in Barrigada, Guam told a judge they were just trying to help by extending credit to their customers who didn’t have enough money at the end of each month to purchase food. While they...

From Guard to Inmate?

A former prison guard who moonlighted as a tax preparer could find himself behind bars after pleading guilty to federal tax fraud. (That’s an interesting combination of skill sets.) The North Carolina man built a reputation as a tax preparer who could ensure his customers...

Oh, SNAP!

Some people just don’t know when to quit. A Newark, N.J., store owner had already been banned from participating in the federal Supplemental Nutrition Assistance Program when he put his grocery store in another person’s name to get back into swindling the federal program....
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