Tuesday, October 23, 2018
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Healthcare Fraud

Drowning in Pills

According to the Centers for Disease Control and Prevention, opioid prescriptions are linked to more than 40 percent of all U.S. opioid overdose deaths. (More than 200,000 people died from prescription opioid overdoses between 1999 and 2016. Just during 2016, more than 46 people...

Signing Off On Fraud

Before signing your name, it’s really important to know exactly what you are agreeing to. An Iowa physician signed off on more than 1,000 prescriptions that caused Tricare, the healthcare program for America’s military members, to be billed for more than $4.4 million in...

The Power of Persuasion

We are impacted by persuasion every day. Just turn on the television and within a few minutes, you’ve watched at least one commercial, if not more, advertising a sizeable discount if you call a toll-free number, log-on to a website, or run on down...

Reversal of Fortune

Some nine million members and veterans of the nation’s military services receive medical coverage from a U.S. government program called TRICARE. It’s a system built on trust — making it an easy mark for seasoned South Florida pharmacist Serge Francois, prosecutors say. Francois, 51, stood trial over the past month on charges of fleecing tens of millions from the taxpayer-funded military program to buy the former Broward County mansion of Hollywood megastar Dwayne “The Rock” Johnson.

When Love and Fraud Collide

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...

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...

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...

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,...

What a Pain

Today’s “Fraud of the Day” is based on an article entitled, “Daphne pain doctor pleads guilty to healthcare fraud, money laundering,” posted on AL.com. A former pain doctor, who operated in Baldwin County, pleaded guilty to federal charges for defrauding Medicaid.

Faking It Didn’t Make It

There is no cure for Sickle Cell Anemia, an inherited condition where there are not enough healthy red blood cells to carry adequate oxygen throughout the body. (Some of the symptoms of Sickle Cell Anemia include swollen hands and feet, fatigue, or jaundice of...

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