Saturday, December 7, 2019

From Exclusive to Excluded

There are many benefits to joining a club. Club membership can open up new avenues for meeting new people, learning new skills, and advancing careers. Today, we learn about a woman from Mount Pleasant, South Carolina who was a member of the “Fraudster Club”...

Walking a Fine, Wavy Line

For a Carl Junction, Missouri pharmacist, there’s a fine, wavy line between legally and illegally filling prescriptions. Today’s fraudster committed healthcare fraud by signing for auto-refill prescriptions that were intended for his pharmacy’s clients and billing Medicare, Medicaid and Tricare for refills that were...

How Did the Cat Get So Fat?

On the “Fraud of the Day” platform, we highlight a large variety of fraud and fraudsters who engage in all types of schemes, with a wide variety of methods and motivations. And while some fraudsters are motivated by financial hardship or desperate circumstances, others...

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...

Truth in Advertising

The American Medical Association’s (AMA) Truth in Advertising Campaign is designed to ensure that healthcare providers accurately state their level of training, education and licensing. This helps patients to discern if their medical providers are who they say they are. A neurologist from Fairhope,...

Do It Yourself PT

The point of going to a physical therapist (PT) is to receive highly specialized care for a particular injury. PTs can prescribe an exercise regimen and work with an injured patient to get them back to normal as soon as possible. Today’s fraud article...

X-rated Rx

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...

Family Togetherness

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...

No Recollection

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...

The Beginning of the End

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...

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