Wednesday, December 12, 2018

Infusion Fraud

An Orlando medical doctor and an infusion clinic owner were sentenced to 64 months in prison and two years supervised release, and 90 months and two years supervised release, respectively, for their roles in a $13.7 million Medicare fraud conspiracy that involved submitting claims for expensive infusion-therapy drugs that were never purchased, never provided and not medically necessary.

Achilles Heel

With 26 bones, 33 joints and more than one hundred muscles, tendons and ligaments in each foot, a lot of things can go wrong with a pair of feet. A former executive with a Chicago-based health care company committed Medicare fraud by taking advantage...

Honesty Makes a Huge Difference

Today’s “Fraud of the Day” is based on an article entitled, “Cherry Hill Doctor, Son Admit to Medicare Fraud, Authorities Say” published by Cherry Hill Patch. A father and son who are both in the medical field have admitted to their roles in a conspiracy to defraud Medicare by using unqualified people to give physical therapy to Medicare recipients.

Dying to Defraud

Dr. Nathaniel Brown, 62, of Cleveland, Mississippi, was sentenced before United States District Judge Neal B. Biggers, Jr. in Oxford, Mississippi. Dr. Brown was sentenced to serve thirty-nine (39) months in federal prison followed by three (3) years supervised release and ordered to pay $1,941,254 in restitution to the Medicare program.

Prison Therapy

To become a physical therapist, an individual must earn a professional degree, which is usually a doctorate in physical therapy. Once the degree is obtained, then states require a license to legally work as a physical therapist. (All of those hours spent learning and...

Crisis of Epic Proportions

The National Institute of Drug Abuse reports that more than 90 Americans die every day due to opioid drug overdoses. The organization also states that the cost of prescription opioid misuse in the United States alone costs an estimated $78.5 billion a year in...

It’s Just Not Necessary

On any given day, if you asked someone what they thought was necessary for living a satisfying life, they might answer: food, water, oxygen, sleep, health, family, friends, freedom, love, faith, a good job, or purpose in life. The former owner-operator of a Burbank,...

Pill Mill Thrill

Fraudsters get a thrill out of stealing from others. Otherwise, they wouldn’t keep doing it. (The constant source of illegitimate income is also attractive.) A very deceptive Dover, Massachusetts physician got his thrill from running a multi-million-dollar Medicare fraud scam involving a pill mill. The...

Driving Thousands of Fake Miles

Criminals will go to great lengths to steal money, even if they have to drive tens of thousands of fake miles to carry out a scam. (So, how does one drive fake miles?) The husband and wife owners of a Texas laboratory company settled...

Quid Pro Quo

The Latin term “quid pro quo” translates into “something for something.” (In other words, it means, “if you scratch my back, I’ll scratch yours.”) A New Orleans, Louisiana woman committed Medicare fraud through a quid pro quo arrangement involving two Louisiana psychiatrists. While no...

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