Monday, July 22, 2019

Guest Writer Louis Saccoccio

The United States currently spends $2.7 trillion on health care each year, generating billions of claims in the private and public health systems. With the estimates for fraud and abuse in our health care system ranging from 3 to 10 percent of expenditures, this...

Stop the Bleeding in Health Insurance Exchange Fraud

The Affordable Care Act (ACA) has provided millions of Americans an opportunity to get health insurance and has generated positive benefits for insurers, as well. However, the way that people now purchase health care plans – through online health care exchanges – has opened...

Hindsight is 20-20

It's usually easy to see the difference between doing something the wrong way vs. the right way after the fact. (That's called hindsight.) An article posted on TulsaWorld.com tells about an optometrist who knew the difference between right and wrong, but made a very...

There’s No Substitute for Hard Work

There are occasions when it's o.k. to have a substitute. For example, when a teacher is sick it is acceptable to bring in a substitute teacher to lead a class until the regular teacher can return. (But when emergency services are involved, you don't...

Sending a Clear Message

Sometimes it's difficult to communicate a message in a way that it can be fully understood by the recipient. (Many people worry that they'll hurt others' feelings when trying to get their message across.) Other times, that's not the case. A story published in...

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...

Do the Math

We'd all be more productive if we only had more hours in a day. (Think about this – one extra hour a day would tack on more than 15 additional days to your year. Sounds like time for a nice vacation to me.) An...

Footing the Fraud Bill

Podiatrists have a complicated and sometimes unpleasant job when it comes to the diagnosis and treatment of more than 26 bones, over 100 muscles, tendons and ligaments and 33 joints in the foot. A podiatrist in Pennsylvania used his patients to take a load...

Loaded Diapers

Diapers have been known to hold a lot, and a mother-daughter team decided to use them to hold something a little different. The diaper duo concealed approximately $2.4 million in cash in diapers and baby towels that were hidden in their luggage on a...

Not Quite Right

If a doctor's practice, home health care company or medical supply company has to pay a recruiter to bring in patients, then you can be sure that something is not quite right. (You can almost bet that Medicare or Medicaid fraud is going on.)...

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