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: compliance
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.
When Is a Letter “Mailed”? Postmarks, Contracts, and a Quiet USPS Change with Real Consequences
USPS postmark delays can make timely contract notices look late. Learn why this matters to protect deadlines and reduce legal risk.
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.
How to Use the Law Before it Uses You.
Some laws derive from morality and others are purely the result of politicking and protectionism.
$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.
Leasing Out Your Medical License? From a Few Bucks to a Felony
As physicians get squeezed by insurers and other payers, including Medicare, and as the costs of operating a medical practice increase, more are looking for ways to supplement their income.
A Ban on PE in Medical Practice and a Gutting of Practice Value
Certainly, Oregon is a small state in terms of medical practice, but what’s happened in Oregon could, and some say will, spread across the country.