In real life healthcare compliance, there’s no get out of jail free card.
Tag: fraud
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.
How to Almost Make Half a Billion Dollars: The Arizona Wound Graft Fraud
If you thought health care fraud required medical knowledge, think again.
Will the Whistleblower Law Be Whistled Out?
Is the False Claims Act’s whistleblower provision illegal?
Now’s The Time to Overturn the No Surprises Act
Re-frame the issue for what it really is: Surprise physician services stealing. Now’s the time for the No Surprises Act, and each state counterpart, to go.