A Florida LNA built a layered $11.4M DME fraud scheme involving hidden ownership, kickbacks, and structuring.
Tag: fraud
Fraud on Fridays: From Telehealth to Telefraud
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.
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: 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.
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.
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…