Friday, May 29, 2020

Genetic Testing Gone Bad

A Pennsylvania lab owner is pleading guilty to charges around a Medicare fraud scheme that yielded approximately $60 million in reimbursements to his labs in less than a year. Ravitej Reddy paid out-of-state marketing companies to convince thousands of Medicare patients to submit samples...

Squeaky Wheels

For people with serious mobility problems, a powered wheelchair can mean the difference between being homebound or having an active lifestyle. But with the price tag for one around thousands of dollars, most people are at the mercy of insurance to pick up the...

Funny Business

It’s one thing to cause taxpayers to pay for services not covered by Medicare; it’s entirely something else for medical providers to visit homebound patients just so they can bill the government for medically unnecessary services. (That’s just wrong.)Today’s “Fraud of the Day” article...

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...

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