He signed with the Seahawks. He made the Packers’ practice squad. He never played a regular-season game. Then he built a $197 million fraud operation targeting the elderly and the families of disabled and deceased veterans.
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Fraud on Fridays: Not That Kind of Angel
A Houston strip mall clinic. Mirrored windows. A price list based on which drug you’d receive. And a doctor who prescribed the same opioid cocktail to more than 99% of her patients.
Fraud on Fridays: The Diagnosis That Wasn’t There
$556 million. One settlement. One health system that is simultaneously the insurer and the physician group. The largest Medicare Advantage risk adjustment fraud settlement in history, and a warning for every physician group in an MA contract.
Fraud on Fridays: Your Banker Is Watching
Your bank’s been deputized as the front line of healthcare fraud detection. Here’s what that means for you.
Fraud on Fridays: Operation Gold Rush
A Russian criminal organization allegedly bought dozens of legitimate Medicare-enrolled companies, installed fake owners, and submitted $10.6 billion in fraudulent DME claims. The government stopped almost all of it. Almost.
Fraud on Fridays: Operation Never Say Die
Healthy patients recruited at grocery stores, cash in envelopes, and a fraud ring that didn’t stop even when its ringleader was already sitting in a federal prison.
Fraud on Fridays: Trash, Junk and 12.5 Years
A Texas fraudster ran a wholesale market in fake doctors’ orders, pressured elderly Medicare patients with an offshore call center, then fled before sentencing. The U.S. Marshals had thoughts about that.
Fraud on Fridays: Bonnie and Clyde, M.D.
A husband-and-wife team, expired injections, and 15 years of fraud. This Bonnie and Clyde didn’t rob banks, they robbed their patients.
Fraud on Fridays: It’s What Was in the Goody Bag
Opioids, unnecessary prescriptions, unlicensed interns, and a Goody Bag no patient actually wanted.
Fraud on Fridays: Fraudulent Visas, Kickbacks, and $32 Million in Medicaid Billing
Visa fraud, kickbacks, and Medicaid billing under someone else’s name.