Dominion of Fraud
When a king or queen is said to have dominion over a particular territory, it means that they have control over their subjects. An article published in the Los Angeles Daily News tells about a man and a woman who used their medical supply...
No Winners
To pull off a scheme capable of stealing $205 million from Medicare, there's usually a multitude of players involved in a game that robs the elderly and the poor of medical benefits. An article posted on WPTV.com covers a man who was responsible for...
Death Sentence
Partial hospitalization programs (PHPs) are structured mental health programs that provide outpatient services in lieu of inpatient psychiatric care. Medicare covers PHP services when provided through a hospital outpatient department or a community health center. In today's ''Fraud of the Day,'' a Federal Bureau...
Fraud On the Move
Fraud can happen anywhere and it appears that criminals are now bringing it to the houses of homebound citizens. A doctor employed by a mobile physician service incorrectly certified patients for home care services when they were not homebound and they didn't require the...
Taking A Chance
The patients received kickbacks for visiting the clinics where they took sleep and stress tests that were administered by unlicensed and unsupervised personnel. (So people who didn’t know what they were doing gave tests that were not needed. That’s a bit scary.)
The two...
Oh My Aching Back
Medicare does not cover the costs of massage therapy; however, it does pay for physical therapy when deemed medically necessary. The operator of several Los Angeles County rehabilitation clinics tried to skirt around Medicare's explicit rules in this area by claiming his patients had...
Taking a Gamble
To participate in Medicare fraud is to take a huge gamble. The odds of winning are not great as a former owner and manager of three Florida home health agencies can testify. The Medicare Strike Force successfully prosecuted him for his role in a...
Couldn’t Help It
Whether a cookie jar on the counter tempts us with its fresh baked delicacies or a great sale tricks us into buying more than we need at the local mall, indulgence can often get the best of us. (It was so tempting I just...
Go Big…And Then Go To Prison
Some people just can never have enough. According to a press release recently issued by the Department of Justice, a high-profile businessman in Tampa was caught leading a group of conspirators through a multi-million dollar scam to defraud Medicare of more than $12 million,...
Unhappily Ever After
Everyone likes a good fairytale. There's always a tragedy of some sort and a struggle between good and evil. Just when it looks like the bad guy might prevail, a hero or heroine overcomes the injustice done to them and the evildoer...