Friday, January 22, 2021

COVID Feature: A Few Bruised Peaches

A woman in Lawrenceville, Ga., stands accused of being a part of a coronavirus scheme involving the elderly. (Not all is peachy in Georgia at the moment.) Ashley Hoobler Parris and other alleged fraudsters are accused of participating in this Medicare scam with the...

Scanning for Medicare Fraud

You’ve probably heard or seen advertisements for body scan services that provide early detection of potentially life-threatening disease. Doctors use 3D images of your body to look for early signs of heart or vascular disease, or cancer. Sometimes during the process, radiologists also detect...

Brace Yourself

Most fraudsters are lazy, but opportunistic at the same time. You can be sure that they will do their best to make as much money as possible without much effort. The story behind a Wellington, Fl., internist turned fraudster doesn’t fit this typical description....

Fraudulent Fugitive

It’s good to be wanted, unless you’re on the federal “Most Wanted” list. David Y. Kim, a former chiropractor from Los Angeles, Ca., was definitely wanted, but by the FBI after he went on the lam. (He was on the run because he willingly...

Greedy Gastroenterologist

The average U.S. per capita income in 2016 was $57,617 according to the Census; meanwhile, gastroenterologists earned an average of $380,000, per the Medscape Gastroenterologist Compensation Report 2016. Greed is a powerful thing, driving a Texas physician—who presumably earned better than six times a...

Fraud After Fraud

It takes chutzpah to try and pull off a $2.2 million Medicare fraud scheme; it takes chutzpah and a big old dose of dumb to do it while you’re awaiting sentencing for another series of Medicare crimes. David Brock Lovelace, a Florida marketing company...

P-hony Medicare Billing

For more than a year, a Pennsylvania physician and medical group billed Medicare thousands of dollars for surgically implanting neurostimulator electrodes – a procedure that typically requires an operating room. Instead, they allegedly performed outpatient Medicare fraud by affixing “P-Stim” acupuncture devices behind the...

Dialing for Medicare Dollars

A New Jersey physician pleaded guilty in September 2019 in one of the nation’s largest healthcare and Medicare fraud cases to date. Joseph DeCorso admitted that he worked for two so-called telemedicine companies, writing orders for medically unnecessary orthotic braces for Medicare beneficiaries. The beneficiaries...

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...

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