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.
Tag: fraud
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.
14 Month Prison Term in “Doctor Chasing” Scam
There’s huge danger in any arrangement in which you put your prescribing imprimatur on any script or order for any item, especially those reimbursed by Medicare.
DOJ to Focus on Criminal Healthcare Fraud and Prosecuting the Individuals Involved
In real life healthcare compliance, there’s no get out of jail free card.
How Medical Group Collaboration Creeps into Fraud—Pass-Through Billing
Hospital-based medical groups, notably anesthesiology and radiology groups, are increasingly turning to creative means to provide coverage and to improve collections.
Did They Sell Their Seoul? The $62+ Million Settlement
There’s a reason why Medicare Advantage is fertile ground for fraud enforcement.
When Teenagers Mix $15 Creams Sold for $16,000: A Lesson in Arrogance, Greed—and Consequences
Imagine a pharmacy operation so brazen that it paid doctors millions in kickbacks to prescribe compound creams mixed in the backroom by untrained teenagers—then billed the government as much as $16,000 per tube.
Don’t Be the Next Headline: What a $405 Million Pharmacy Fraud Case Should Teach Physicians
Why doctors must prioritize compliance—and legal advice—before signing anything.
The $4 Million Pee Test Scam: How One Lab Owner Flushed His Future
There are dumb crimes, and then there are crimes so dumb they come with a built-in paper trail leading straight to prison.
From Insurance Watchdog to Prisoner: A Cautionary Tale for Healthcare Professionals
From insurance commissioner to healthcare fraudster to federal prison inmate.