Monday, December 17, 2018

Death Sentence

Partial hospitalization programs (PHPs) are structured mental health programs that provide outpatient services in lieu of inpatient psychiatric care. Medicare covers PHP services when provided through a hospital outpatient department or a community health center. In today's ''Fraud of the Day,'' a Federal Bureau...

Bad Business Decisions

Bad business decisions can ruin a company. For instance, if your customers like the product or service you provide, don’t spend a lot of money trying to improve it. (Think of the New Coke vs. Old Coke saga back in the 1980s. If it...

Lies Beget More Lies

There are several types of lies. (For example, white lies are intended to be polite; fabricated or exaggerated statements are somewhat true, but a little bit false; lies of omission fail to disclose known information and lies of commission are basically a blatant lie.)...

Taking A Chance

The patients received kickbacks for visiting the clinics where they took sleep and stress tests that were administered by unlicensed and unsupervised personnel. (So people who didn’t know what they were doing gave tests that were not needed. That’s a bit scary.) The two...

A Bad Rap

A research study conducted by The Journal of the American Board of Family Medicine reports that one visit to a chiropractor to treat back pain could save Medicare $83.5 million each year. (These findings are quite astounding, as chiropractic care has historically been controversial...

Dirty Money

Fraudsters make a life of living off of dirty money. The illegally-gained funds help to perpetuate a lifestyle of lying, stealing and cheating. (It's hard to stop once a fraudster gets started down that crooked road.) An article published in the Miami Herald describes...

Certifiably Fraudulent

When criminals want to steal money from government health care programs, they generally submit lots of fraudulent claims for medical services or products that are not medically necessary nor delivered. Because the government strives to be efficient when paying claims, health care programs tend...

Money Talks

When healthcare fraud occurs, kickbacks are often involved. (Medical kickbacks can include payment by cash, check, gift cards, luxury items, vacations, etc. in exchange for patient referrals, prescriptions or medical devices.) A Fontana, California woman, who owned and operated a La Verne-based home healthcare...

Green Pastures

Green pastures are usually associated with prosperity, new opportunities and a fresh start. (If someone is moving on to greener pastures, they are taking advantage of a new opportunity and leaving an old situation behind.)The owner and operator of a New Orleans medical equipment...

Up-Charge

There are many types of salesmen known for luring customers in with an offer that can't be refused. Before you know it, you have agreed to buy a product with more features than you need and you've paid an up-charge that has busted your...

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