Tuesday, October 27, 2020
Home Healthcare Fraud

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,...

Compounding Problems

Compounding interest is every investor’s friend. Over time, interest is earned on the principal amount deposited, plus the accumulated interest from previous periods. (Before you know it, even a small amount of money invested at a consistent rate can turn into a fortune.) 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...

The Opioid Crisis: When Healthcare Fraud Turns Deadly

The Opioid Crisis is now a Public Health Emergency. Combating the crisis and the criminals using fraud to perpetrate it (and often using taxpayer-funded dollars to do so), is critical. It is going to take data from multiple sources – providers, medical claims, pharmacy claims, public records, law enforcement records management system, computer-aided dispatch and more – to win. Siloed data will be the enemy of success, but data sharing will enable success.

The Doctor Will See You Now

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...

One for the History Books

Today’s “Fraud of the Day” is based on an article entitled, “Owner of Dallas Health Care Company Gets 17 Years in Federal Prison for Role in Huge Fraud” published by Dallas Observer. U.S. District Judge Sam Lindsay sentenced the owner of a Dallas home health care company to 17 years in federal prison.

Compounding Problems

Pharmaceutical sales can be a rewarding and lucrative career field. But when the desire for profits trumps following the law, sales reps can go to jail. A 45-year-old Camden, N.J., man is facing 20 years in prison after pleading guilty to one count each of...

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...

Sticky Situation

Acupuncture, which was developed more than a thousand years ago in China, is an alternative medical practice that uses needles to alleviate pain and nausea or treat chronic health conditions. (For those who do not like needles, physical therapy and chiropractic treatment can also provide...

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...

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