Fraud on Fridays Archives - Wisdom. Applied. https://blog.weisspc.com/category/video/fraud-on-fridays/ Wisdom Applied - Decoding the Business of Healthcare — Mark Weiss’s Perspective Thu, 28 May 2026 17:28:40 +0000 en-US hourly 1 183918279 Fraud on Fridays: That’s Why They Go to Jail https://blog.weisspc.com/52m-healthcare-fraud-suboxone-scheme/ https://blog.weisspc.com/52m-healthcare-fraud-suboxone-scheme/#respond Fri, 29 May 2026 14:58:00 +0000 https://blog.weisspc.com/?p=37114 A 78-year-old Brooklyn clinic owner. A van outside where his staff directed patients to sell their Suboxone. A Florida nurse practitioner who signed prescriptions without seeing a single patient. And a federal informant with a hidden camera who heard Brown-Arkah explain, on the record, exactly why people in his business get arrested.

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]]> https://blog.weisspc.com/52m-healthcare-fraud-suboxone-scheme/feed/ 0 37114 Fraud on Fridays: No Sample Required  https://blog.weisspc.com/covid-testing-fraud-no-sample-required/ https://blog.weisspc.com/covid-testing-fraud-no-sample-required/#respond Fri, 22 May 2026 14:14:00 +0000 https://blog.weisspc.com/?p=37111 Two brothers from Naperville. Four laboratories. $293 million in claims for COVID-19 tests that were never performed. And then the gold bars, the overseas mansions, the luxury watches — and a superseding indictment.

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]]> https://blog.weisspc.com/covid-testing-fraud-no-sample-required/feed/ 0 37111 Fraud on Fridays: Football Fraudster Drops the Ball https://blog.weisspc.com/197m-dme-fraud-nfl-player/ https://blog.weisspc.com/197m-dme-fraud-nfl-player/#respond Fri, 15 May 2026 14:33:00 +0000 https://blog.weisspc.com/?p=37105 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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]]> https://blog.weisspc.com/197m-dme-fraud-nfl-player/feed/ 0 37105 Fraud on Fridays: Not That Kind of Angel  https://blog.weisspc.com/fraud-on-fridays-opioid-prescribing-conviction/ https://blog.weisspc.com/fraud-on-fridays-opioid-prescribing-conviction/#respond Fri, 08 May 2026 13:59:00 +0000 https://blog.weisspc.com/?p=37097 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. 

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]]> https://blog.weisspc.com/fraud-on-fridays-opioid-prescribing-conviction/feed/ 0 37097 Fraud on Fridays: The Diagnosis That Wasn’t There https://blog.weisspc.com/fraud-on-fridays-the-diagnosis-that-wasnt-there/ https://blog.weisspc.com/fraud-on-fridays-the-diagnosis-that-wasnt-there/#respond Fri, 01 May 2026 13:28:00 +0000 https://blog.weisspc.com/?p=37066 $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.

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]]> https://blog.weisspc.com/fraud-on-fridays-the-diagnosis-that-wasnt-there/feed/ 0 37066 Fraud on Fridays: Operation Gold Rush https://blog.weisspc.com/fraud-on-fridays-operation-gold-rush/ https://blog.weisspc.com/fraud-on-fridays-operation-gold-rush/#respond Fri, 17 Apr 2026 14:55:00 +0000 https://blog.weisspc.com/?p=37041 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.

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]]> https://blog.weisspc.com/fraud-on-fridays-operation-gold-rush/feed/ 0 37041 Fraud on Fridays: Operation Never Say Die https://blog.weisspc.com/hospice-fraud-operation-never-say-die/ https://blog.weisspc.com/hospice-fraud-operation-never-say-die/#respond Fri, 10 Apr 2026 14:40:00 +0000 https://blog.weisspc.com/?p=37029 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.

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]]> https://blog.weisspc.com/hospice-fraud-operation-never-say-die/feed/ 0 37029 Fraud on Fridays: Trash, Junk and 12.5 Years https://blog.weisspc.com/fraud-on-fridays-trash-junk-12-5-years/ https://blog.weisspc.com/fraud-on-fridays-trash-junk-12-5-years/#respond Fri, 03 Apr 2026 14:46:00 +0000 https://blog.weisspc.com/?p=37022 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.

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]]> https://blog.weisspc.com/fraud-on-fridays-trash-junk-12-5-years/feed/ 0 37022 Fraud on Fridays: Bonnie and Clyde, M.D. https://blog.weisspc.com/fraud-on-fridays-bonnie-and-clyde-md/ https://blog.weisspc.com/fraud-on-fridays-bonnie-and-clyde-md/#respond Fri, 27 Mar 2026 13:55:39 +0000 https://blog.weisspc.com/?p=37017 A husband-and-wife team, expired injections, and 15 years of fraud. This Bonnie and Clyde didn’t rob banks, they robbed their patients.

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]]> https://blog.weisspc.com/fraud-on-fridays-bonnie-and-clyde-md/feed/ 0 37017 Fraud on Fridays: It’s What Was in the Goody Bag https://blog.weisspc.com/fraud-on-fridays-goody-bag-opioid-scheme/ https://blog.weisspc.com/fraud-on-fridays-goody-bag-opioid-scheme/#respond Fri, 20 Mar 2026 14:51:00 +0000 https://blog.weisspc.com/?p=37012 Opioids, unnecessary prescriptions, unlicensed interns, and a Goody Bag no patient actually wanted.

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]]> https://blog.weisspc.com/fraud-on-fridays-goody-bag-opioid-scheme/feed/ 0 37012 Fraud on Fridays: Fraudulent Visas, Kickbacks, and $32 Million in Medicaid Billing https://blog.weisspc.com/fraudulent-visas-kickbacks-32-million-medicaid-billing/ https://blog.weisspc.com/fraudulent-visas-kickbacks-32-million-medicaid-billing/#respond Fri, 13 Mar 2026 14:45:00 +0000 https://blog.weisspc.com/?p=37007 Visa fraud, kickbacks, and Medicaid billing under someone else’s name.

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]]> https://blog.weisspc.com/fraudulent-visas-kickbacks-32-million-medicaid-billing/feed/ 0 37007 Fraud on Fridays: Doctor Chasing: When Someone Wants to Borrow Your License  https://blog.weisspc.com/fraud-on-fridays-doctor-chasing/ https://blog.weisspc.com/fraud-on-fridays-doctor-chasing/#respond Fri, 06 Mar 2026 14:56:00 +0000 https://blog.weisspc.com/?p=36998 A former football player, marketers, and your medical license

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]]> https://blog.weisspc.com/fraud-on-fridays-doctor-chasing/feed/ 0 36998 Fraud on Fridays: Surgeon Sentenced for Compound Bribes https://blog.weisspc.com/fraud-on-fridays-surgeon-sentenced-compounded-bribes/ https://blog.weisspc.com/fraud-on-fridays-surgeon-sentenced-compounded-bribes/#respond Fri, 27 Feb 2026 15:41:00 +0000 https://blog.weisspc.com/?p=36989 A surgeon doesn’t get 102 months in federal prison because he “missed a detail.” He gets it because he treated prescribing like a revenue stream instead of a duty.

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]]> https://blog.weisspc.com/fraud-on-fridays-surgeon-sentenced-compounded-bribes/feed/ 0 36989 Fraud on Fridays: Inside Job https://blog.weisspc.com/fraud-on-fridays-inside-job/ https://blog.weisspc.com/fraud-on-fridays-inside-job/#respond Fri, 20 Feb 2026 15:03:00 +0000 https://blog.weisspc.com/?p=36984 Some of the most damaging fraud in medical practices doesn’t come from CMS, payors, or regulators—it comes from trusted employees.

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]]> https://blog.weisspc.com/fraud-on-fridays-inside-job/feed/ 0 36984 Fraud On Fridays: The Fake Doctor Will See You Now https://blog.weisspc.com/fake-doctor-healthcare-fraud/ https://blog.weisspc.com/fake-doctor-healthcare-fraud/#respond Fri, 06 Feb 2026 12:52:00 +0000 https://blog.weisspc.com/?p=36967 A Connecticut physician is accused of knowingly employing a fake doctor for years. Learn the risks of credential misuse and how identity‑based fraud ensnares practices.

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]]> https://blog.weisspc.com/fake-doctor-healthcare-fraud/feed/ 0 36967 Fraud on Fridays: From Telehealth to Telefraud https://blog.weisspc.com/fraud-on-fridays-telehealth-to-telefraud/ https://blog.weisspc.com/fraud-on-fridays-telehealth-to-telefraud/#respond Fri, 23 Jan 2026 13:38:00 +0000 https://blog.weisspc.com/?p=36716 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.

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]]> https://blog.weisspc.com/fraud-on-fridays-telehealth-to-telefraud/feed/ 0 36716 Fraud on Fridays: Bogus Billing for Botox? https://blog.weisspc.com/bogus-botox-billing-fraud/ https://blog.weisspc.com/bogus-botox-billing-fraud/#respond Sat, 17 Jan 2026 08:15:00 +0000 https://blog.weisspc.com/?p=36663 Learn why poor documentation and bad fixes can turn mistakes into criminal exposure—and how one physician allegedly blurred the lines of Botox billing.

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]]> https://blog.weisspc.com/bogus-botox-billing-fraud/feed/ 0 36663 Fraud on Fridays: DME and Dummies  https://blog.weisspc.com/telemedicine-dme-fraud/ https://blog.weisspc.com/telemedicine-dme-fraud/#respond Fri, 09 Jan 2026 13:52:00 +0000 https://blog.weisspc.com/?p=36636 The $1 billion telemedicine scam that finally caught up with its CEO.

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]]> https://blog.weisspc.com/telemedicine-dme-fraud/feed/ 0 36636 Fraud on Fridays: Pink Slipped https://blog.weisspc.com/healthcare-executive-fraud-risks/ https://blog.weisspc.com/healthcare-executive-fraud-risks/#respond Fri, 26 Dec 2025 10:30:00 +0000 https://blog.weisspc.com/?p=36467 From sell-mates to cellmates? Used car salesmen/financiers and the lesson for healthcare leaders.

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]]> https://blog.weisspc.com/healthcare-executive-fraud-risks/feed/ 0 36467 Fraud on Fridays: Deceit Was in His Genes https://blog.weisspc.com/medicare-genetic-testing-fraud/ https://blog.weisspc.com/medicare-genetic-testing-fraud/#respond Fri, 19 Dec 2025 12:25:00 +0000 https://blog.weisspc.com/?p=36462 Perhaps he should have genetically tested himself for the propensity to commit fraud.

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]]> https://blog.weisspc.com/medicare-genetic-testing-fraud/feed/ 0 36462 Fraud on Fridays: Upcoding to Infinity and Beyond https://blog.weisspc.com/upcoding-fraud-healthcare/ https://blog.weisspc.com/upcoding-fraud-healthcare/#respond Fri, 12 Dec 2025 14:13:00 +0000 https://blog.weisspc.com/?p=36457 If we could call it upcoding, it would be an understatement to call it upcoding to infinity. 

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]]> https://blog.weisspc.com/upcoding-fraud-healthcare/feed/ 0 36457 Fraud on Fridays: Fraud on Physicians in the ASC Setting https://blog.weisspc.com/fraud-fridays-fraud-on-physicians-asc-setting/ https://blog.weisspc.com/fraud-fridays-fraud-on-physicians-asc-setting/#respond Fri, 05 Dec 2025 09:54:00 +0000 https://blog.weisspc.com/?p=36451 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...

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]]> https://blog.weisspc.com/fraud-fridays-fraud-on-physicians-asc-setting/feed/ 0 36451 Fraud on Fridays: $10.6 Billion – Does Crime Pay? https://blog.weisspc.com/largest-healthcare-fraud-case-operation-gold-rush-doj/ https://blog.weisspc.com/largest-healthcare-fraud-case-operation-gold-rush-doj/#respond Fri, 28 Nov 2025 15:46:55 +0000 https://blog.weisspc.com/?p=36446 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.

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]]> https://blog.weisspc.com/largest-healthcare-fraud-case-operation-gold-rush-doj/feed/ 0 36446 Fraud on Fridays: The Four Legs of Fraud https://blog.weisspc.com/kickbacks-consulting-agreements-doj-case/ https://blog.weisspc.com/kickbacks-consulting-agreements-doj-case/#respond Fri, 21 Nov 2025 13:38:00 +0000 https://blog.weisspc.com/?p=36437 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.

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]]> https://blog.weisspc.com/kickbacks-consulting-agreements-doj-case/feed/ 0 36437 Fraud on Fridays: The Case of Dr. Jorge Zamora-Quezada https://blog.weisspc.com/fraud-on-fridays-case-of-dr-jorge-zamora-quezada/ https://blog.weisspc.com/fraud-on-fridays-case-of-dr-jorge-zamora-quezada/#respond Sat, 15 Nov 2025 17:52:41 +0000 https://blog.weisspc.com/?p=36435 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.

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]]> https://blog.weisspc.com/fraud-on-fridays-case-of-dr-jorge-zamora-quezada/feed/ 0 36435 Fraud on Fridays: The BS MSO: Kickbacks Disguised as Investments Snare Another Round of Settlements https://blog.weisspc.com/disguised-kickbacks-healthcare-msos/ https://blog.weisspc.com/disguised-kickbacks-healthcare-msos/#respond Fri, 07 Nov 2025 14:24:00 +0000 https://blog.weisspc.com/?p=36417 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.

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]]> https://blog.weisspc.com/disguised-kickbacks-healthcare-msos/feed/ 0 36417