Tuesday, April 23, 2019

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,...

From Exclusive to Excluded

There are many benefits to joining a club. Club membership can open up new avenues for meeting new people, learning new skills, and advancing careers. Today, we learn about a woman from Mount Pleasant, South Carolina who was a member of the “Fraudster Club”...

Walking a Fine, Wavy Line

For a Carl Junction, Missouri pharmacist, there’s a fine, wavy line between legally and illegally filling prescriptions. Today’s fraudster committed healthcare fraud by signing for auto-refill prescriptions that were intended for his pharmacy’s clients and billing Medicare, Medicaid and Tricare for refills that were...

How Did the Cat Get So Fat?

On the “Fraud of the Day” platform, we highlight a large variety of fraud and fraudsters who engage in all types of schemes, with a wide variety of methods and motivations. And while some fraudsters are motivated by financial hardship or desperate circumstances, others...

Henchman

Where there is an abundance of money, greed and corruption are usually nearby. Such is the case with “Operation Spinal Cap,” a massive sting operation run by the Department of Justice (DOJ). A Palm Desert, California man is the latest individual to plead guilty...

Truth in Advertising

The American Medical Association’s (AMA) Truth in Advertising Campaign is designed to ensure that healthcare providers accurately state their level of training, education and licensing. This helps patients to discern if their medical providers are who they say they are. A neurologist from Fairhope,...

Do It Yourself PT

The point of going to a physical therapist (PT) is to receive highly specialized care for a particular injury. PTs can prescribe an exercise regimen and work with an injured patient to get them back to normal as soon as possible. Today’s fraud article...

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