Tuesday, October 23, 2018

Short-Sighted

A person who is short-sighted doesn’t have much foresight into what might happen in any given situation. (You could say they are living in the moment without much regard to the future.) The owner of an eye clinic in Jasper, Georgia was short-sighted when...

Piggy Bank

Around the 15th century, dishes and pots were made out of a type of clay called “PYGG.” When people during that day and time were able to save an extra coin or two, they would drop it into their PYGG clay pot. Fast forward...

Putting Fraud to Bed

According to the American Sleep Association (ASA), between 50 and 70 million adults in the U.S. have a sleep disorder. The former owner of multiple sleep study clinics in Maryland and Northern Virginia capitalized on those statistics by causing a loss of more than...

Examining the Examiners

Medical examinations are required for many reasons. Children need a medical evaluation before they can attend school; an immigrant needs one if they wish to obtain a visa or green card and, some employers won’t hire until you’ve been looked over by a qualified...

Monkey See, Monkey Do

Parents’ actions often speak louder than words. And, when children observe their parents repeating the same behavior frequently, they tend to copy. (Monkey see, monkey do.) A woman from Placentia, California emulated her mother’s repetitive criminal behavior and followed her lead right into a...

Fraud from A to Z

The president and owner of the A to Z Pharmacy in New Port Richey, Florida used his business as a cover for a massive compounding pharmacy fraud scheme that stole more than $100 million from private insurance companies, Medicare and TRICARE. The healthcare fraud...

Dirty Dozen

The purpose of a medical research study is to use human participants to add to the body of medical knowledge. (Medical research studies are used to test the efficacy and safety of new interventions and often lead to medical breakthroughs and even cures.) Today,...

The Placebo Effect

Topical anti-inflammatory creams are one of the best ways to safely reduce inflammation and pain in muscles and joints. (That’s assuming the anti-inflammation drug is actually included in the cream.) A Fayetteville, North Carolina pharmacist committed healthcare fraud by billing both Medicare and Medicaid...

Part of the Problem

After a recent health care fraud crackdown, two Austin, Texas, psychologists and a patient recruiter from Cedar Park, Texas, were charged with health care fraud. The trio was part of a larger scheme including 115 doctors, nurses and other medical practitioners who allegedly bilked...

Compounding Problems

A pharmacy owner in Decatur, Alabama recently compounded problems for his business when he devised a healthcare fraud scheme that stole from TRICARE, the U.S. Department of Defense’s military health system. The pharmacy owner used his business to bilk more than $10 million from the government health insurance program and military families who deserved the benefits.

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