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.
Tag: billing
Five Ophthalmology Practices See Eye to Eye in False Claims Act Settlement
Five ophthalmology practices agreed to pay nearly $6M over alleged kickbacks and unnecessary testing. Learn the FCA risks every physician group must understand.
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: Pink Slipped
From sell-mates to cellmates? Used car salesmen/financiers and the lesson for healthcare leaders.
Off to Prison. An Update on How to Almost Make Half a Billion Dollars: The Arizona Wound Graft Fraud
Now that they’ve been sentenced to prison, I can reveal the fate of the healthcare power couple, Alexandra Gehrke and her husband, Jeffrey King, whose wound care graft graft put close to $615,000,000 in their pockets, albeit temporarily.
Fraud on Fridays: Deceit Was in His Genes
Perhaps he should have genetically tested himself for the propensity to commit fraud.
Surprise: The No Surprises Act Is Working, Just Not How Insurers Planned
The No Surprises Act wasn’t about patients. The fine print told a different tale: it was an insurer-protection law.
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.
You Can’t Lipstick That Pig: Why Physicians Must Carefully Vet Deals
Deals involving management services agreements, consulting contracts, or similar structures can appear completely legal at first glance. But dig deeper, and they might turn out to be elaborate covers for kickbacks or bribes.
Pain Doc Likely in Pain After Settling Allegations That Billed Procedures Weren’t Performed
Was it a scam or an error? A settlement is just that and there’s been no determination of liability.
Neither you nor I can know for sure what went on, but either way, there’s a lesson here about billing compliance.