Sunday, March 7, 2021

A Lack of Durability

Some healthcare fraud schemes are simple and involve a singular physician overcharging Medicare in an attempt to pocket reimbursements for a few patients. Other frauds, like today’s case, are more complex and involve a multitude of conspirators attempting to defraud many Medicare beneficiaries. Jessica Jones,...

Heart Full of Fraud

Medicare fraud is one of the most prevalent types of healthcare fraud, costing the U.S. Government and taxpayers billions of dollars each year. Sadly, many of these cases are carried out by fraudsters who work within the healthcare profession. This is true for a...

Business Partners in Crime

The role of a psychiatrist is to diagnose and help treat mental disorders, often through the usage of prescription medication. Unfortunately, there are some bad apples who misuse their access to controlled substances to defraud patients and the healthcare system. A psychiatrist and his business...

Not So Easily Fooled

Doctors, nurses, and other healthcare workers are responsible for a considerable part of healthcare fraud, including overbilling or billing insurance for services that are never provided. (Isn’t it ironic and sad that the people whom the public trusts to help them stay healthy are...

COVID Feature: The Fraud That Broke the Chiropractor’s Back

People visit chiropractors when their spine is out of alignment or there is something wrong with their musculoskeletal system. The general expectation is to leave the chiropractor feeling better after an adjustment, not to be robbed and left thousands of dollars in debt. (That...

You’ve Tested Positive for Fraud

Modern medicinal technology has developed rapidly to the point where one can now determine their heritage, muscle composition, taste preferences, likeliness to develop diseases and more based on genetic testing. Unfortunately, some medical companies will do anything to sell their genetic tests, including defrauding...

Can’t Sweep Fraud Under the Rug

While many frauds are perpetrated by an individual, some healthcare frauds are part of a larger scheme run by a network of individuals working together to line their own pockets with cash. Fortunately, whistleblowers do a great job of bringing wrongdoings to light and...

Dr. Fraud

Sadly, it is not uncommon for doctors, nurses, and other healthcare professionals to be the perpetrators responsible for fraudulently billing Medicare for hundreds of millions of dollars each year. (So much for the Hippocratic Oath.) Dr. Michael J Ligotti of Delray Beach, Fl., was...

COVID Feature: No One Else to Blame

Today’s fraudster has no one to blame but himself if he is convicted of fraud. Carlos Belone, 37, of Coconut Creek, Florida is charged with wire and healthcare fraud along with making false statements to a financial institution. Belone, who owns R&S Pharmacy, allegedly...

One Lie After Another

The state of a company tends to reflect its leadership from the top down. One Tennessee company isn’t in such great shape after it was discovered that the Chief Executive Officer (CEO) is a fraudster who took advantage of his own company. John Davis owned...

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