Friday, January 17, 2020

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...

Good Friends

In today’s “Fraud of the Day” article, we take a look at a patient recruiter from South Florida who referred Medicare beneficiaries to a now defunct home health care agency, Good Friends Services. As you might guess, the patient recruiter and the home health agency...

No Drugs Dispensed

A federal jury in Los Angeles, California found a pharmacy owner guilty for her role in a Medicare fraud scheme involving more than $1.3 million in fraudulent claims for prescription drugs.  Tamar Tatarian, 39, a Pasadena pharmacy owner, was sentenced to...

Three Times a Charm

A woman in Medford, Mass., admitted to lying so she could receive $108,288 in Social Security, Medicare and MassHealth benefits and food stamps over a 10-year period. (SO ambitious!). She was subsequently charged for her Food Stamp, Social Security and Medicare fraud scheme (Three...

Watch Out for DNA Scams

It appears that a new wave of Medicare fraud scams involving DNA testing has been detected. Whether lured by free ice cream or scared of potential life-threatening illnesses, senior citizens are being deceptively convinced to provide their Medicare number in exchange for a cheek swab....

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