Wednesday, June 23, 2021

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...

Anyone and Everyone

As of June 2018, more than 66 million individuals were enrolled in Medicaid. As approximately one-sixth of the national healthcare economy, it’s easy to see how the government healthcare program is an easy target for fraud. (In 2016, Medicaid spending totaled $565.5 billion.) A...

Partners in Fraud

Starting a business is a risky venture, especially when you need to have several partners to pull it off. Arguably, one of the most important qualities to look for in a business partner is integrity. A couple from Louisa, Kentucky lacked that extremely important...

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...

Wigging Out

The U.S. Department of Agriculture’s Food and Nutrition Service has specific parameters that retail stores must meet to participate in the Supplemental Nutrition Assistance Program (SNAP). In general, an approved retail establishment must sell food for home preparation and consumption, meeting specific criteria. Although...

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...

Is There a Fraudster Under the Bed?

For every child who fears going to sleep because of a monster under the bed, there's likely a parent shining a flashlight to scare it away. The Kentucky Cabinet for Health and Family Services and the Federal Bureau of Investigation recently shined a light...

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...

Oh SNAP

Recent data states that more than 46 million people participate in the Supplemental Nutrition Assistance Program (SNAP) and more than 8 million people receive benefits from the Special Supplemental Nutrition Program for Women, Infants and Children (WIC). Both programs are intended to support economically...
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