Sunday, January 29, 2023

The Perfect Pair

A Calvert City, Ky., couple has been convicted of defrauding the Kentucky Medical Assistance Program, also known as Medicaid, out of nearly $8,000. Melissa Dufay, 51, and her husband Ray Dufay, 54, defrauded the government healthcare program for more than a year. (I guess...

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...

Benefits of Blowing the Whistle

Whistleblowers are individuals who provide information that exposes wrongdoing. In the United States, whistleblowers can file lawsuits on behalf of the government through the False Claims Act, which imposes liability on those who defraud government programs. Thanks to a brave former employee, a doctor...

Feeling the Pain of Fraud

It 's very important to monitor a patient during and after surgery. From the time that patients are put under anesthesia and wake up post-surgery, they need to be monitored. A Georgia doctor, who was responsible for performing surgical monitoring services billed multiple federal...

The Insanity of It All

When a criminal defendant uses an insanity plea, it means they declare they did not understand they were doing something wrong while committing a crime. (That's my non-legal definition.) A Department of Justice press release tells about a woman who claimed an insanity defense...

Finding the Truth in Fiction

Fiction often has an element of truth to it, but isn't quite accurate when compared to reality. (Fictional persons, places or things can be used to hide the truth, throwing those seeking justice off base.) A Department of Justice press release tells about a...

Commonalities

What do luxury cars, a $3.5 million residence in California and private jets have in common? A press release from the Department of Justice states that a husband and his wife enjoyed all three of these benefits as a result of their fraudulent...

Entrepreneurial Fraud

Small businesses are usually good for the community because they create job opportunities, while generating tax revenue that ultimately benefits local residents. A story published on NOLA.com tells about a mother and daughter team of entrepreneurs, who operated a Louisiana tax preparation business with...
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