Wednesday, March 3, 2021

Overinflated

A Newton, Massachusetts doctor submitted overinflated claims to Medicare and MassHealth, the Massachusetts Medicaid program, for care he supposedly provided to nursing home patients. The consequences of his overblown actions require him to pay the two government healthcare programs $680,000 to resolve allegations that...

License to Steal

Listen to this Story Licenses are generally required to either practice in a particular employment field or to operate something. (For example, you cannot drive an automobile without first passing the driving test and proving that you can...

Sending a Clear Message

Sometimes it's difficult to communicate a message in a way that it can be fully understood by the recipient. (Many people worry that they'll hurt others' feelings when trying to get their message across.) Other times, that's not the case. A story published in...

Dirty Dozen

The purpose of a medical research study is to use human participants to add to the body of medical knowledge. (Medical research studies are used to test the efficacy and safety of new interventions and often lead to medical breakthroughs and even cures.) Today,...

Beware of Rising Premiums

A Washington, D.C.-based insurance broker was in a good position to get rich off one of the U.S.’s biggest health insurance companies. That is, until the law caught up with him. Now, he’s facing prison time for healthcare fraud and identity theft. A federal jury...

Rolling Away with Fraud

The durable medical equipment industry is rife with power wheelchair fraud. In fact, the Centers for Medicare and Medicaid Services have seen an increase of nearly 450 percent in spending over the past four years. (All of that cannot possibly be legit.) Today’s “Fraud...

Reversal of Fortune

Some nine million members and veterans of the nation’s military services receive medical coverage from a U.S. government program called TRICARE. It’s a system built on trust — making it an easy mark for seasoned South Florida pharmacist Serge Francois, prosecutors say. Francois, 51, stood trial over the past month on charges of fleecing tens of millions from the taxpayer-funded military program to buy the former Broward County mansion of Hollywood megastar Dwayne “The Rock” Johnson.

A Degree of Separation

At times, the smallest amount of something can make the largest difference. For example, you are constructing a skyscraper and lay the foundation just a few degrees off the planned measurement. A couple years down the road, an earthquake hits and brings the building...

Trio of Trouble

A trio of Oklahomans, who conspired to carry out a scheme that defrauded Medicare and Oklahoma Medicaid out of tens of thousands of dollars have received their punishment. Dr. James Ferris, 47, Katherine Dossey, 61, and Sherry Isbell, 50, of Oklahoma City have all...

Drowning in Pills

According to the Centers for Disease Control and Prevention, opioid prescriptions are linked to more than 40 percent of all U.S. opioid overdose deaths. (More than 200,000 people died from prescription opioid overdoses between 1999 and 2016. Just during 2016, more than 46 people...

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