Dr. Jorge Zamora-Quezada, a Texas rheumatologist, was sentenced earlier this year to ten years in federal prison for a healthcare fraud so brazen it left even seasoned prosecutors shaking their heads. Read the full DOJ press release.
Healthcare Fraud
Fraud on Fridays: The BS MSO: Kickbacks Disguised as Investments Snare Another Round of Settlements
The Department of Justice just announced more than six million dollars in settlements with a former lab CEO, seven marketers, and two physicians. Their alleged wrong? Turning the concept of the “Management Services Organization” into a pay-to-play operation.
$500 Million in Alleged Phony Charges and the Dangers of Medical Directorship
A $500M medical directorship fraud case exposes how physicians can be exploited. Protect your practice from legal and financial fallout.
Double Trouble: Prosecuted and Sued for the Same Scam
Out of state. Still billing for in-person care.
A physician submitted claims while vacationing in Hawaii—and now faces criminal sentencing and a $500k civil payout.
Healthcare Fraud and the Physician as Victim
The majority of healthcare fraud schemes center on fraud perpetrated by physicians, but what about schemes orchestrated to victimize physicians?
The Nation’s Largest Health Care Fraud Bust, Plus Bureaucratic Negligence
It’s been said that people read published lists of disciplined fellow professionals out of a sense of schadenfreude, the pleasure derived from another’s misfortune.
How to Almost Make Half a Billion Dollars: The Arizona Wound Graft Fraud
If you thought health care fraud required medical knowledge, think again.
Will the Whistleblower Law Be Whistled Out?
Is the False Claims Act’s whistleblower provision illegal?
Federal District Court Finds Whistleblower Actions Unconstitutional
What if someone blows the whistle but it makes no sound?
Beware of Bogus Medicare and Medicaid Billings
Certifying to Medicare that you’re here when you’re really there is a ticket to nowhere, or maybe to jail.