Monday, June 17, 2019

This One’s a Whopper

Whopper, colossal, enormous, gargantuan – these are all words that could describe a $1 billion healthcare fraud scheme masterminded by the owner of a Miami, Florida-based healthcare facility empire. The players in this game of fraud include the executive’s father, many medical professionals, a hospital administrator, two...

Communication is Key

Communication is Key Good communication skills are necessary to have a successful marriage. But due to some miscommunication between a New Haven, Connecticut doctor and her husband, they are now responsible for their involvement in a healthcare fraud scheme that stole $1.5 million...

Beached

Sailors used the commerce-friendly trade winds and associated ocean currents to navigate their early sailing ships from European and African ports to the Americas, bringing goods to trade and sell. Today’s fraudster, who managed the Rockland, Maine-based Trade Winds Health, Swim and Tan Club, thought his...

Say What?

Audiologists are healthcare professionals who help individuals with hearing and balance disorders. While a Central New York audiology practice may have helped its patients with these issues, they also committed healthcare fraud by defrauding several federal health insurance programs at the same time. Read on to find...

Dishonorable

When someone from the armed forces commits a criminal act or behaves in a morally unacceptable manner, they can receive a dishonorable discharge. A Charleston, West Virginia man, who claimed to be a Navy veteran, was recently convicted of healthcare fraud because he really wasn’t a...

Groupthink

Fraudsters can be said to suffer from “Groupthink,” a way of thinking where a group of individuals reaches a conclusion that is thought to be correct, whether it is or not. Fraudsters tend to think that they deserve to receive government benefits when they really don’t....

Manipulating the System

For patients that have isolated joint conditions with scar tissue, manipulation under anesthesia (MUA) is a procedure that improves range of motion with less pain. (Anesthesia helps to sedate patients, so they experience less muscle spasms and resistance while gaining range of motion.) A...

Tele-fraudster

Telemedicine is credited with helping to improve how healthcare is delivered. Some of the benefits include fewer hospital admissions and re-admissions, improved commitments to following recommended courses of treatment and faster recovery for patients. It sounds like a win-win situation until you consider today’s...

The Bottom Line

The term “bottom line” generally refers to the last line of a financial statement that reveals whether an organization is making a profit or loss. It can also describe the most important thing that should be considered. The bottom line of today’s fraud article...

Fatal Fraud

Fraud is generally not considered fatal, just costly (and really aggravating) for victims. In fact, criminals, who may have previously committed crimes such as selling drugs, often turn to fraud because they can make a good amount of money without as much risk. Today,...

Get Your Fraud Fix!

Five days a week wake up to the most current fraud article in your mailbox.