Thursday, August 22, 2019

Paper Pushers

Paper pushers are usually associated with doing boring or unimportant work. Today, we take a look at two Houston-based physicians who took paper pushing to a whole new level in totally separate multimillion-dollar Medicare fraud schemes. They signed off on fraudulent paperwork that caused the government healthcare...

Ripe for the Picking

Florida is known for a lot of fun things including Disney World, the Space Coast, SeaWorld and Miami Beach. Unfortunately, South Florida is not only known for humidity and alligators, it’s also the nation’s capital of healthcare fraud. The incidence of healthcare fraud is so bad...

Hospice Heist

The National Hospice and Palliative Care Organization reports that Medicare paid $16.7 billion for 1.43 million beneficiaries in hospice care during 2016. A decade earlier, Medicare’s costs for hospice care totaled $9.2 billion for less than 1 million beneficiaries. You’re about to take a look at...

Failed Leadership

Common characteristics possessed by great leaders include honesty, integrity, confidence, and the ability to delegate and empower others. Today’s fraud article examines the actions of a prominent leader at two Houston, Texas-based home care businesses. While the former Director of Nursing and Administration may have been...

Brace Yourself

Medical equipment supply companies depend on doctor referrals for a steady stream of business. Today, we take a look at the former CEO of a Brentwood, Tennessee-based pain management clinic who provided many referrals to the head of a local medical supply company in exchange...

Self-licking Ice Cream Cone

Fraud within federal healthcare programs costs taxpayers billions of dollars annually and can put the health and welfare of beneficiaries at risk. The Centers for Medicare and Medicaid Services (CMS) puts an enormous amount of trust in their medical providers, expecting physicians and other related providers...

Breakthrough

According to the National Cancer Institute, there were 15.5 million cancer survivors living in the United States in 2016. About 40 percent of those survivors deal with chronic pain related to their cancer treatment. Even though opioid medications can be highly addictive, doctors commonly prescribe the narcotics...

Kickbacks, Bribes and Narcotics, Oh My!

Just as Dorothy was extremely worried about coming across wild animals such as lions, tigers and bears on their way to The Emerald City, the federal government must constantly be on the lookout for wild behavior by deceptive Medicare providers who stalk healthcare programs on a...

Needs vs. Wants

There is a definite difference between needs and wants. Needs are things required for living like food, shelter, water, or healthcare. Wants are desires for things or services that are not necessary, but what we’d like to have. Some people need opioids to legitimately...

At a Higher Risk

Physical therapists are at a higher risk for malpractice claims due to the nature of their work. Some common reasons for malpractice suits include failure to properly supervise a patient, improper technique, injury from manipulation, burns from hot packs or stretching and exercise injuries....

Get Your Fraud Fix!

Five days a week wake up to the most current fraud article in your mailbox.