Friday, April 23, 2021

Loaded Diapers

Diapers have been known to hold a lot, and a mother-daughter team decided to use them to hold something a little different. The diaper duo concealed approximately $2.4 million in cash in diapers and baby towels that were hidden in their luggage on a...

Intercepting Fraud

Interceptions are good if you are rooting for the losing team who catches a misdirected pass with five seconds to go and runs the ball 90 yards for a touchdown that wins the game. A press release from the Department of Justice details...

Stop the Bleeding in Health Insurance Exchange Fraud

The Affordable Care Act (ACA) has provided millions of Americans an opportunity to get health insurance and has generated positive benefits for insurers, as well. However, the way that people now purchase health care plans – through online health care exchanges – has opened...

Free Ride

It is estimated that Medicaid fraud costs American taxpayers approximately $80 billion per year. A portion of that tab can be traced to fraudulent ambulance transport providers, who are supposed to provide a ride to qualified beneficiaries requiring medical services. An article...

Misconstrued

The U.S. Food and Drug Administration (FDA) exists to ensure public health is protected. The agency ensures “the safety, efficacy and security of human and veterinary drugs, biological products and medical devices.” (They are also responsible for ensuring the safety of the nation’s food...

Putting the Brakes on Fraud

There are a variety of ways to commit Medicare fraud including billing for unnecessary services or services not provided, up-coding or double-billing, or offering or accepting kickbacks, just to name a few. Today 's fraudsters, who were man and wife, tried a different tactic...

Guest Writer Louis Saccoccio

The United States currently spends $2.7 trillion on health care each year, generating billions of claims in the private and public health systems. With the estimates for fraud and abuse in our health care system ranging from 3 to 10 percent of expenditures, this...

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...

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...

There’s No Substitute for Hard Work

There are occasions when it's o.k. to have a substitute. For example, when a teacher is sick it is acceptable to bring in a substitute teacher to lead a class until the regular teacher can return. (But when emergency services are involved, you don't...

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