Tuesday, October 27, 2020

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...

Free Ride

It is estimated that Medicaid fraud costs American taxpayers approximately $80 billion per year. A portion of that tab can be traced to fraudulent ambulance transport providers, who are supposed to provide a ride to qualified beneficiaries requiring medical services. An article...

Rx for Fraud

A 52-year-old Decatur, Georgia man was recently sentenced to prison for committing healthcare fraud. He defrauded TRICARE and other insurance companies out of more than $6.5 million by using a Pensacola, Florida pharmacy to fill fraudulent prescriptions. While many instances of prescription fraud involve...

Three-Ring Circus

Three-ring circuses are famous for having multiple performing acts going on at the same time. Similarly, a healthcare clinic manager ran a Medicaid and Medicare fraud ring at three clinics across New York City. Just as it can be hard to focus in on...

Adjusting to Fraud

Children like pretend play. They can be whomever they like including warriors, princesses, veterinarians or even grocery store clerks. (I doubt many kids pretend to be a fraudster.) At some point, they grow out of that stage and move on to reality. ...

Minimize

For some people, living a minimalist lifestyle means having a happier life. This is not so for the owner of a pharmacy in Red Bud, Illinois and his wife. After the pharmacist was charged with healthcare fraud, his wife tried to minimize their connection with the...

Fraud On-the-Move

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...

Fraudulent Friends

Fraud is easier if there is someone on the inside that can help perpetuate a crime. An article published in the Suffolk News-Herald tells about a husband and wife team who got a little help from a Medicaid insider. Their fraudulent friend helped the...

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.

Pros and Cons

There are times in life when we are faced with making big decisions. Making a list of pros and cons can often be very helpful when assessing a tough situation. An article posted on WMAZ.com shares the details of a con woman who was...

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