Sunday, March 29, 2020

Repeat Offender

You have to wonder about people who get caught defrauding a healthcare program – and then do it again. That is the case with an Ohio doctor who is serving a 33-month term in federal prison for his role in defrauding Medicare and Medicaid...

Home Health Fraud & Kickbacks

Four Los Angeles-area residents went from running healthcare businesses to serving time behind bars for their roles in a healthcare fraud scheme that stole at least $22 million from Medicare. A 43-year-old woman and a 61-year-old man were the owners and operators of Fifth Avenue...

Not So Charitable

A non-profit group paying drug co-pays for seriously ill people may appear to be charitable. But when an organization makes the payments as kickbacks for highly competitive pharmaceutical companies, it undermines federal laws designed to help patients and indicates Medicare fraud. The U.S. Justice Department...

Foot Cream and Kickbacks

Fraud cases against government healthcare programs often involve a deep well of people all too willing to scam the program for their personal gain, taking scarce resources from legitimate recipients of Medicare and other programs. That’s been the case with an Oklahoma-based compounding pharmacy,...

Paying for Patients

Money is a powerful motivator, leading some to risk prison and ruin. That is the case for 13 people associated with a Texas-based company that provides management services to healthcare providers. They have recently been convicted of committing fraud against the federal Medicare program. The...

Corporate Greed in Medicare

Some people just can’t get enough money. That seems to be the case with the owner of a Tennessee-based durable medical equipment (DME) company who will spend nearly four years behind bars and forfeit $600,000 for her role in a Medicare fraud kickback scheme....

Who’s Laughing Now?

Santa Monica Boulevard, which runs through Los Angeles from West Hollywood to the Santa Monica Pier, is a famous street in California that has inspired popular songs and is known for being a fun area to explore. Today, we learn more about the operator...

Defining Necessary

Healthcare.gov defines “medically necessary” as “health care services or supplies needed to diagnose or treat an illness, injury, condition, disease or its symptoms and that meet accepted standards of medicine.” A Nigerian man received a Medicare fraud conviction because he paid kickbacks for fraudulent...

Feeding and Starving Addictions

Addictions to things such as drugs, gambling, gaming, food and shopping can be costly in terms of losing money, family or friends. (As opposed to binge-watching, which tends to waste time but at least it’s entertaining, and you can do it with your family...

Sinking Ship

There is a maritime tradition that involves the captain going down with the ship. In other words, he is responsible for saving his crew, or he will risk his life in the process. The former owner and medical director of a Baton Rouge, Louisiana...

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