Saturday, May 15, 2021

Bevy of Fraudsters

Medicare reimburses for legitimate home healthcare services delivered by medical providers. Because home healthcare is provided in a patient’s own home, this less expensive, more convenient service is considered just as effective as the care provided in a hospital or skilled nursing facility. Leave...

Hand in the Cookie Jar

A group of healthcare professionals, including doctors and laboratory owners, admitted to defrauding Medicare out of millions of dollars through a kickback-induced genetic testing scheme. Edward Kostishion of Lakeland, Fla., recently pleaded guilty to a superseding information charging him with two counts of conspiracy to...

An Inside Job

The most common perpetrator of a healthcare fraud scheme is someone within the healthcare profession. This is the case in today’s fraud story, which explains how a man who owned a medical equipment company targeted and defrauded Medicare beneficiaries.  Colombian national Juan Buitrago pleaded guilty...

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...

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