Saturday, December 10, 2022

Double Billing

Government investigations and prosecutions involving pharmacies around the country are on the rise, due to an increase in fraudulent Medicare billing schemes. One common tactic for bilking the government healthcare benefits program includes billing for and dispensing large numbers of painkillers and other...

Thrown Under the Bus

People who don't like to take responsibility for their actions often throw others under the bus, so to speak, to avoid punishment. In today's ''Fraud of the Day,'' a judge chastised a defendant for blaming her million dollar Medicaid fraud scheme on her employees....

What Witness?

On October 14, 2022, Louise Age, Jr was sentenced to multiple life sentences for a murder for hire. The victim? The witness being used by the Feds in the Medicare fraud case against Age, Jr held in 2013. In 2012, Milton Womack, employee of South...

Kicking the Habit

It's hard to kick a habit that is well-ingrained. Whether snacking when not hungry, spending too much time watching television or buying things you don't need, once a bad habit gets established, it's really hard to break. A story posted on MyEasternShoreMD.com tells about...

Kickback and Enjoy Your Incarceration

Robert Clay Smith, 60, of Alexandria, Louisiana, is the second doctor to plead guilty to accepting illegal kickbacks from a medical supply and billing company located in Rogers, Arkansas. Dr. Robert Dale Bernauer, Sr. of Louisiana pleaded guilty to his part in the scheme...

Entitled

The federal government has a number of entitlement programs that provide beneficiaries with funds for which they qualify. It has been argued that people who take advantage of these programs by stealing benefits they are not entitled to receive are part of an...

I’d like a Refund

I'm sure you've had to make a return at a store before; regardless of the store and/or item(s), it's usually a time consuming irritant. Options like pre-labeled shipping for returns when shopping online have made the ease of returning items just that, easy. The...

Taking Candy from Babies

Have you ever heard of the saying: ''It's like taking candy from a baby''? The expression explains the ease in taking something from a defenseless entity. What if we changed the expression to say: ''It's like stealing a Social Security number (SSN) from a...

You Can’t Take It with You

The Social Security Administration has specific policies regarding the notification of a beneficiary's death. Normally, a family member, Electronic Death Registration report, death certificate, confirmation by statement from a funeral director or other third party report is sufficient to declare the beneficiary deceased. (The...

A Scheme Too Good to Be True

A Lake Charles, La., surgeon used his professional status to defraud the government and private insurance companies. Robert Dale Bernauer, 74, has pleaded guilty to one count of conspiracy to commit mail fraud, wire fraud, health care fraud, fraud to obtain federal employees’ compensation,...
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