Friday, September 25, 2020

Spineless Fraudsters

The Department of Veterans Affairs (VA) provides monetary allowances, vocational training and rehabilitation, and VA-financed health care benefits to Korea and Vietnam Veterans' birth children who have been diagnosed with spina bifida, a malformation of the vertebrae in the spine that exposes the spinal...

She’s His Wife?

Many families have confusing family dynamics and complicated relationships. The Stephen's family relationship is a prime example as they are not as they appear on paper. Their familial status is the question of a federal fraud scandal. Edward Stephen of Baton Rouge, L.A. was recently...

Chameleons

Fraudsters are everywhere just waiting to find vulnerabilities to exploit in the lives of their unsuspecting victims. Today’s fraudster is an Idaho woman who worked as an officer manager for a skilled nursing facility in Boise for many years without anyone suspecting that she...

Clear Line of Sight

Opticians are eye wear professionals who help customers find the perfect pair of prescription eyeglasses and ensure they fit properly. There is a set of specific knowledge and skills that one must possess to become an Optician. Being skilled in identity theft fraud is...

Every Minute Counts

Every minute counts when it comes to submitting claims to government healthcare programs. A primary care doctor in Webster City, Iowa was quick to tally the minutes he spent with his patients at multiple nursing facilities (and multiply that number by seven). After nearly...

Sleep Study Fraudster Gets a $2.75M Wake-Up Call

Sleep studies are essential to properly diagnosing and treating sleep issues that can lead to serious medical problems like diabetes, high cholesterol, heart disease, and stroke. (Doctors use the study results to properly prescribe treatment so sleep deprived individuals can get the rest they...

Drug-dealing Doctor

A Missouri doctor will serve two years in federal prison and a nurse practitioner has been fined in a Medicaid and Medicare scam that involved providing opioid prescriptions to patients without an exam. (Sounds like he was more of a drug dealer than a...

Compounding Ill-Gotten Gains

Compounded medications are custom mixed for individual patients, and often carry a correspondingly high price tag. That evidently makes them temping fodder for healthcare fraud. Three Oklahoma marketers decided that potential profits merited hefty physician kickbacks in a prescription fraud scheme. (It appears their...

Black-Hearted Heart Testing

A Framingham, Massachusetts company agreed in November 2019 to pay more than $26 million as part of a settlement for alleged healthcare fraud. From 2015 to 2017, Laboratory Boston Heart Diagnostics Corporation (Boston Heart) purportedly conspired with others in a massive, complex scheme to...

Heartless Cardiologist Puts Greed Before Patients

A Kentucky cardiologist pressured and lied to patients—causing them unnecessary pain and medical risk—to perpetrate health care fraud. Dr. Anis Chalhoub was found guilty of implanting medically unnecessary pacemakers in his patients and fraudulently billing them and the follow-up care to Medicaid, Medicare and...

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