Another week. Another fraud.
This Friday’s case shows how telehealth can quietly turn into federal wire fraud—without physicians realizing the risk until it’s too late.
Fraud on Fridays
Fraud on Fridays: Bogus Billing for Botox?
Learn why poor documentation and bad fixes can turn mistakes into criminal exposure—and how one physician allegedly blurred the lines of Botox billing.
Fraud on Fridays: DME and Dummies
The $1 billion telemedicine scam that finally caught up with its CEO.
Fraud on Fridays: Pink Slipped
From sell-mates to cellmates? Used car salesmen/financiers and the lesson for healthcare leaders.
Fraud on Fridays: Deceit Was in His Genes
Perhaps he should have genetically tested himself for the propensity to commit fraud.
Fraud on Fridays: Upcoding to Infinity and Beyond
If we could call it upcoding, it would be an understatement to call it upcoding to infinity.
Fraud on Fridays: Fraud on Physicians in the ASC Setting
When you think about fraud at an ASC, you tend to think about fraud on payers, from Medicare to well, Blue Cross. You know, cases that never happened, patients who didn’t suffer from any medical issue, and the like. But what about fraud on physicians at an ASC? Because physicians hardly think about it, it…
Fraud on Fridays: $10.6 Billion – Does Crime Pay?
In a healthcare billing and payment system that’s so complex, it’s sad to say that criminals can stay a few steps ahead of the Feds. With $10.6 billion in bogus billing, some cutouts got caught, but the masterminds appear to have escaped with close to $1 billion.
Fraud on Fridays: The Four Legs of Fraud
The DOJ kicked back when it secured a conviction against compounding pharmacy executive Sam Glover for a six-year drug alteration and misbranding conspiracy involving free flowing prescription forms and, well, racehorses.
Fraud on Fridays: The Case of Dr. Jorge Zamora-Quezada
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.