Medicare Fraud

You’ve probably heard or seen advertisements for body scan services that provide early detection of potentially life-threatening disease. Doctors use 3D images of your body to look for early signs of heart or vascular disease, or cancer. Sometimes during the process, radiologists also detect...

When healthcare fraud occurs, kickbacks are often involved. (Medical kickbacks can include payment by cash, check, gift cards, luxury items, vacations, etc. in exchange for patient referrals, prescriptions or medical devices.) A Fontana, California woman, who owned and operated a La Verne-based home healthcare...

Healthcare.gov defines “medically necessary” as “health care services or supplies needed to diagnose or treat an illness, injury, condition, disease or its symptoms and that meet accepted standards of medicine.” A Nigerian man received a Medicare fraud conviction because he paid kickbacks for fraudulent...

For people with serious mobility problems, a powered wheelchair can mean the difference between being homebound or having an active lifestyle. But with the price tag for one around thousands of dollars, most people are at the mercy of insurance to pick up the...

When someone “gets the boot,” it typically means that they get dismissed, or kicked out of a job or an establishment. A Bloomfield Hills, Michigan doctor could possibly “get the boot” from the podiatrist profession when sentenced for Medicare fraud. Ironically, because he unnecessarily...

Bad business decisions can ruin a company. For instance, if your customers like the product or service you provide, don’t spend a lot of money trying to improve it. (Think of the New Coke vs. Old Coke saga back in the 1980s. If it...

Some things go together like salt and pepper, peanut butter and jelly, night and day; and then there are fraudsters and their accomplices. An article published in the Star-Telegram describes how a doctor and nurse worked together to defraud Medicare of millions of dollars. The...

Shortcuts can help you be more productive. For example, using shortcuts or combining a couple of keystrokes on your computer keyboard can help you throw together an important presentation in no time at all. Or, using a traffic app on your mobile phone can...

Today’s “Fraud of the Day” is based on an article entitled, “Cherry Hill Doctor, Son Admit to Medicare Fraud, Authorities Say” published by Cherry Hill Patch. A father and son who are both in the medical field have admitted to their roles in a conspiracy to defraud Medicare by using unqualified people to give physical therapy to Medicare recipients.

A Pennsylvania lab owner is pleading guilty to charges around a Medicare fraud scheme that yielded approximately $60 million in reimbursements to his labs in less than a year. Ravitej Reddy paid out-of-state marketing companies to convince thousands of Medicare patients to submit samples...