Wednesday, May 31, 2023

Diagnosis: Fraud

We rely on doctors to correctly diagnose our ailments and prescribe the right treatment to cure our maladies. An article published on WXYZ.com tells the story of a Detroit-area physician who fraudulently billed Medicare for $35 million in services. The services were actually performed,...

Wooed by Fraud

When it comes to Medicare fraud, an illegal scheme usually begins with the need for qualified beneficiaries. There are a variety of methods for wooing Medicare beneficiaries to participate, and as a Department of Justice press release states, one Detroit doctor chose to...

Enterprising Fraudster

Medicaid billing fraud is a lucrative business for enterprising fraudsters. Perpetrators of this type of fraud are counting on patients and Medicaid claims processors to not examine their billing statements too closely. A doctor in Ohio was running a profitable billing fraud enterprise out...

Lying Compounds the Problem

When you know someone is doing something illegal, lying about it is never the right response. (Lying only compounds the problem.)The owners and operators of a Mississippi-based medical supply company that also provided compounded inhalation drugs knew that billing Medicare for compounded inhalation drugs...

Too Good to be True

There are some criminals who are on a mission to defraud from the get-go, then there are others who find themselves stuck in a difficult position where they want to do the honorable thing, but in the end choose not to for whatever reason....

Oh…the Irony

Isn't it ironic how some fraudsters will work very hard to carry off a scam, but earning an honest living is not an option? Today's ''Fraud of the Day'' focuses on a married couple who told multiple lies about their employment situation, then got...

Candidly Criminal

If you're going to carry around an 8-inch knife, an airsoft pistol and a marijuana pipe, with someone else's Electronic Benefits Transfer (EBT) card wrapped around your neck, it is advisable that you choose your method of transportation —and your words—wisely. MLive.com reports that...

License to Steal

Listen to this Story Licenses are generally required to either practice in a particular employment field or to operate something. (For example, you cannot drive an automobile without first passing the driving test and proving that you can...

Stealing Evidence

It's not a good idea to steal evidence when you have been charged with an offense. (It can only get you deeper into trouble with the law.) A Federal Bureau of Investigation press release details how two owners of several home health care companies...

Pulling Fraud Off the Streets

Statistics from the National Institute on Drug Abuse show that the abuse of prescription opioids costs our Nation $26 billion in health care-related expenses each year. Another $78.5 billion in costs can be attributed to crime, lost work productivity and health care. A Detroit-area...
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