Healthcare Fraud

The Rx symbol is found on doctor’s prescription pads, as well as on signs in pharmacies. (Here’s your medical lesson for the day: Rx is derived from the Latin word “recipe,” which means “take”.) A Mount Holly, North Carolina physician was definitely “on the...

There are lots of activities that families can enjoy together, like playing card or board games, taking vacations at the beach or having a picnic in the park. A family from Jackson, Tennessee had a different idea of what family togetherness looks like. The...

Today’s article explains a fraud case involving a lack of recollection. A Sugar Land, Texas nurse apparently did not recall the rules and regulations of running a legitimate home health agency and the government healthcare beneficiaries he victimized did not recall receiving any services...

Twilight years are those near the end of life. It’s a time when individuals are seeking a comfortable existence in a safe and secure setting. It’s ironic that an Annville, Pennsylvania nurse chose the name “Twilight Beginnings” for her business, which provided psychiatric services...

A pacemaker is a small device implanted into a patient’s chest that controls abnormal heart rhythms. A former cardiologist from London, Kentucky apparently enjoyed implanting pacemakers, especially when he received reimbursement for his claims from federal healthcare and private insurance programs. (I’m sure it...

Doctor visits are expensive in terms of time and money. It’s not uncommon to arrive on time for an appointment, then be kept waiting for what seems like forever to only get a few minutes with a physician. According to a survey on how...

 Posers are individuals who pretend to be someone they are not. (Just check out your social media channel of choice to find a multitude of examples.) While most posers mean no harm and are just trying to fit in, today’s fraudster from Valley Stream,...

The government loses tens of billions of dollars annually from a variety of fraudulent healthcare schemes. Upcoding, arguably one of the most popular methods used to siphon off healthcare funds, was the scam of choice for a Warren County, Kentucky physician who was recently...

Fraud sometimes occurs in a localized area, perhaps at one business location where perpetrators aim to keep their crime concealed. Other criminals commit fraud while on-the-move at different locations, which makes their illegal acts more difficult to detect. Fortunately, the Medicare Strike Force is...

When in love, people have been known to do some pretty interesting things. Extravagant gifts, flowers, and romantic getaways aside, today’s fraudster from Cape Girardeau, Missouri demonstrated his love for his fiancée by involving her spinal implant distributorship in a healthcare fraud scheme that...