Wednesday, January 23, 2019

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...

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...

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...

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...

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 A former pain doctor, who operated in Baldwin County, pleaded guilty to federal charges for defrauding Medicaid.

Medicare Manicures

Ocala podiatrist Dr. Michael Rotstein, 55, pleaded guilty on Monday to one count of healthcare fraud. Rotstein billed Medicare and TRICARE for a service that he called “removal of skin and muscle,” but which federal prosecutors said often was just “routine foot care, including the clipping of toenails.”

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.

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.


Today’s “Fraud of the Day” is based on an article entitled, “Doctor with history of maiming patients sentenced to 35 years in $373 million home health scheme” posted by

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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