Friday, August 12, 2022

Fraudulent Friends

Fraud is easier if there is someone on the inside that can help perpetuate a crime. An article published in the Suffolk News-Herald tells about a husband and wife team who got a little help from a Medicaid insider. Their fraudulent friend helped the...

Like Father, Like Son

A father-son duo has been sentenced for their roles in defrauding Affordable Care Act (ACA) programs in at least 12 states. California residents Jeffery White, 63, and Nicholas White, 35, admitted to participating in a scheme that resulted in more than $27 million in...

Massive Scheme Laid to Rest

In a twisted scheme, a group of Texas healthcare fraudsters convinced patients they were dying and illegally enrolled them in hospice services. From 2009 to 2018, leaders of Merida Group, a chain of hospice and home health agencies throughout Texas, raked in $150 million....

[Fraud Trends Series] Trend #4: Healthcare Fraud

While healthcare fraud has been around for a long time, the COVID-19 pandemic certainly opened up a Pandora’s Box of new scams. Using tried and true techniques, fraudsters managed to steal billions of dollars from U.S. healthcare insurance programs such as Medicare and Medicaid....

A Need for Respite

Everyone needs a break at some point, especially primary caregivers of people who cannot care for themselves. This duty often falls on the shoulders of family members, who can become exhausted by their efforts. When some periodic relief is needed, a home...

Home-Health Fraud

People who qualify for Medicaid’s home healthcare coverage are some of the most vulnerable among us. They are impoverished or disabled and count on home-health workers to help them with basic needs. But that doesn’t stop some people from stealing from the program and...

Sticky Situation

For people who have bad backs, electric nerve stimulators can do wonders for a fairly low price. (Back surgery costs quite a bit more and doesn't always guarantee relief.) An article published in the Austin Business Journal tells how the owner of a Texas...

Operation Rubber Stamp

Fraud schemes involving telemedicine have become increasingly common as more people turn to virtual health services. The Department of Justice has conducted several nationwide takedowns of fraudulent telemedicine rings which have attempted to defraud patients and abuse the healthcare system. Most recently, more than 30...

X-rated Rx

The Rx symbol is found on doctor’s prescription pads, as well as on signs in pharmacies. (Here’s your medical lesson for the day: Rx is derived from the Latin word “recipe,” which means “take”.) A Mount Holly, North Carolina physician was definitely “on the...

Identity Thief Poses as RN, Endangers Patients

Nurses have historically been viewed as angels of mercy. It was only through luck that a felon from Tennessee who posed as a nurse didn’t become an agent of death before pleading guilty to healthcare fraud, wire fraud, and identity theft. In today’s complex healthcare...

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