Saturday, February 27, 2021

O Fraud, Where Is Thy Sting?

Beekeeping does not come without danger, and neither does fraud. Today’s article combines both to create a sticky situation for a Stafford, Virginia man who committed Social Security disability fraud by lying about his ability to work.

Traumatic Fraud

The Social Security Administration’s (SSA) Disability Insurance Benefits Program provides monetary benefits to eligible individuals who have worked and paid taxes. (An individual must be deemed medically disabled and unable to work in order to receive monthly cash benefits). A Shreveport, Louisiana doctor committed Social Security Disability fraud...

When Love and Fraud Collide

When in love, people have been known to do some pretty interesting things. Extravagant gifts, flowers, and romantic getaways aside, today’s fraudster from Cape Girardeau, Missouri demonstrated his love for his fiancée by involving her spinal implant distributorship in a healthcare fraud scheme that...

Survivor Benefits

The Social Security Administration (SSA) makes it pretty clear about what to do when someone who receives Social Security benefits dies. First, if there is a surviving spouse, they must report their loved one’s death to the agency. (Usually the funeral home will take care of...

Fraud, Drugs & Money Laundering

Today’s “Fraud of the Day” is about a doctor from Alabama who is facing decades in prison after being convicted of 35 charges related to healthcare fraud, illegal drug distribution, and money laundering. A federal court in November rejected his request for a new...

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.

Medicare Manicures

Ocala podiatrist Dr. Michael Rotstein, 55, pleaded guilty on Monday to one count of healthcare fraud. Rotstein billed Medicare and TRICARE for a service that he called “removal of skin and muscle,” but which federal prosecutors said often was just “routine foot care, including the clipping of toenails.”

Johnny-on-the-spot

Dr. John H. Johnson, an Altoona anesthesiologist, entered guilty pleas to conspiracy to defraud Medicare and Medicaid and failure to remit payroll taxes for employees of his doctor’s office and a local car wash business, Johnny On The Spot.

Admissions Fraud

College admissions are competitive. (That’s why high school seniors are encouraged to apply to multiple schools with the hopes of getting into at least one of their favorites.) When a Carmel, Indiana woman applied to her favored university and got rejected, she committed student...

You Get What You Pay For

As most Americans know, having access to affordable pharmaceuticals is a challenge. But circumventing laws to bring unapproved drugs over the border – and then charging the government – is never the answer. A Philadelphia-area doctor has learned this lesson the hard way and...
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