Tuesday, May 24, 2022

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...

Stealing from Babies

It’s hard to imagine how people can steal food from the mouths of disadvantaged babies and their mothers, but it happens. The U.S. Department of Agriculture’s Special Supplemental Nutrition Assistance Program, or SNAP, for Women, Infants and Children, also known as WIC, is a $6.3...

Compounding Problems

Pharmaceutical sales can be a rewarding and lucrative career field. But when the desire for profits trumps following the law, sales reps can go to jail. A 45-year-old Camden, N.J., man is facing 20 years in prison after pleading guilty to one count each of...

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...

Spoiled Specimens

One way that people working in healthcare defraud public insurance systems is by paying kickbacks for referrals and asking for reimbursements for services never rendered. It’s that kind of behavior that has an Illinois medical lab owner behind bars. The 62-year-old man, from Madison County,...

The Mother Daughter Bond

The mother-daughter bond can be tricky. While most daughters look up to their mothers as role models, most moms who try to maintain a good relationship with their daughters must strike a balance between not being too controlling and being a friend. Suffice to...

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...

Tithe or Tax?

Two brothers formerly of Utah, who claimed to be tax preparers, were sentenced to two years in prison each for conspiracy to file false tax claims. The brothers filed over 700 false tax returns for themselves and for others over six years, according to...

Follow the Rules!

It’s not uncommon for healthcare providers to get caught not following healthcare laws regulating prescription medications and billing to Medicaid and Medicare. And when they do, the penalties are often steep. An Ashland, K.Y., physician learned this the hard way after settling civil claims...

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...
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