Tuesday, November 29, 2022

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...

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...

Lower Than the Lowest Fraudster

Abuse of government healthcare beneficiaries is beyond despicable, particularly when the victims are vulnerable adults who are unable to defend themselves, remove themselves from the facility in which the abuse is happening, or even report it. Unfortunately, those circumstances apparently provided a perfect opportunity...

What a Character

It has been said that a person's character is determined by the choices made when no one is looking. It's also important to remember that choices have consequences, which impact others. The website NOLA.com reports on a New Orleans man, who failed to consider...

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...

Medical Professionals Turned Professional Fraudsters 

Two Kentucky men, Dr. Jeffrey Campbell and Advanced Practice Registered Nurse Mark Dyer, and Physicians Primary Care, PLLC (PPC) were charged with conspiracy to unlawfully distribute and dispense controlled substances, conspiracy to commit money laundering, and conspiracy to commit healthcare fraud. After a six-week trial, a federal jury convicted Campbell and Dyer on 13 charges.    These two fraudsters were found guilty of distributing and dispensing controlled...

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...

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...

These Numbers Don’t Add Up

A Louisville man has been sentenced to time in federal prison for failing to report nearly $1 million in income to the Internal Revenue Service and for defrauding Kentucky's Medicaid program. Hatem Kaisi, 52, previously pled guilty in court to three counts of filing...
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