Friday, July 30, 2021

A DAM Shame

There’s fraud, worse fraud, and then there’s healthcare fraud that endangers patients. James Spina, a chiropractor from Middletown, New York, embraced them all in a scheme that cost Medicare and other insurers millions of dollars in fraudulent claims—and left the one unfortunate patient dead. Spina...

Ill-Equipped

A greedy medical equipment supplier bilked Medicare for millions of dollars in a scheme to bill for equipment that was never furnished to patients. In 2018, Frances Jones, who owned and operated Oxicheck, a medical equipment supplier in Bisbee, Ariz., was charged with 12...

A Nettlesome Case

A licensed chiropractor in Rockport, Tex., will pay $273,000 to settle allegations that she falsely billed Medicare for the use of acupuncture devices. Stacy Hawkins is also the chief financial officer of Rockport Physical Medicine, PA. The company billed Medicare for the implantation of neurostimulator...

Emotional Turmoil

Antonio Olivera was sentenced for his role in a Medicare fraud scheme that resulted in $28 million in fraudulent claims. Olivera worked as an administrator for a Southern California-based home health and hospice agency, Mhiramarc Management LLC (Mhiramarc), during the time the Medicare fraud...

A Wolf in Sheep’s Clothing

Telehealth has become a very important and viable way for patients to receive medical care and advice, especially in light of the current global pandemic. (And, as you might guess, where there’s a new technology that helps to provide service to government beneficiaries, there’s...

Eligible for Prison

Nathan LaParl, 34, of Boca Raton, Fla., recently pleaded guilty to one count of receiving kickbacks in connection with a federal health care program and one count of violating the HIPAA statute. LaParl was involved in a durable medical equipment (DME) fraud scheme that...

The Grim Reaper Cometh

The Grim Reaper is death personified. (Kind of a harsh way to start a fraud blog but stick with me.) A Texas corporate executive and his co-conspirator essentially assumed the role of this hideous creature. They falsely told thousands of patients with long-term illnesses...

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...

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