Sunday, March 7, 2021

Every Minute Counts

Every minute counts when it comes to submitting claims to government healthcare programs. A primary care doctor in Webster City, Iowa was quick to tally the minutes he spent with his patients at multiple nursing facilities (and multiply that number by seven). After nearly...

Sleep Study Fraudster Gets a $2.75M Wake-Up Call

Sleep studies are essential to properly diagnosing and treating sleep issues that can lead to serious medical problems like diabetes, high cholesterol, heart disease, and stroke. (Doctors use the study results to properly prescribe treatment so sleep deprived individuals can get the rest they...

Drug-dealing Doctor

A Missouri doctor will serve two years in federal prison and a nurse practitioner has been fined in a Medicaid and Medicare scam that involved providing opioid prescriptions to patients without an exam. (Sounds like he was more of a drug dealer than a...

Compounding Ill-Gotten Gains

Compounded medications are custom mixed for individual patients, and often carry a correspondingly high price tag. That evidently makes them temping fodder for healthcare fraud. Three Oklahoma marketers decided that potential profits merited hefty physician kickbacks in a prescription fraud scheme. (It appears their...

Black-Hearted Heart Testing

A Framingham, Massachusetts company agreed in November 2019 to pay more than $26 million as part of a settlement for alleged healthcare fraud. From 2015 to 2017, Laboratory Boston Heart Diagnostics Corporation (Boston Heart) purportedly conspired with others in a massive, complex scheme to...

Heartless Cardiologist Puts Greed Before Patients

A Kentucky cardiologist pressured and lied to patients—causing them unnecessary pain and medical risk—to perpetrate health care fraud. Dr. Anis Chalhoub was found guilty of implanting medically unnecessary pacemakers in his patients and fraudulently billing them and the follow-up care to Medicaid, Medicare and...

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...

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...

Win-Win Situation

One of the most typical ways providers commit medical billing fraud is by charging for services not provided. Thanks to a retired health care consultant and former administrator who blew the whistle on a Los Angeles-based cancer institute, allegations that the company defrauded public...

If the Shoe Fits

Military service can put a lot of pressure on feet. Overuse can not only cause injuries and inflammation to bones, ligaments and joints, it can also lead to bunions, plantar fasciitis and arthritis. (Oh, my aching feet!) Today’s “Fraud of the Day” is particularly...

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