telehealth Archives - Wisdom. Applied.

Fraud on Fridays: From Telehealth to Telefraud

Mark — Fri, 23 Jan 2026 13:38:00 +0000

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.

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You Can’t Lipstick That Pig: Why Physicians Must Carefully Vet Deals

Mark — Mon, 21 Jul 2025 16:45:19 +0000

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.

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Conviction for $70 Million in Fake Medicare Claims Likely Sending Doc to Big House – Medical Group Minute

Mark — Wed, 31 Jul 2024 08:24:00 +0000

Although health care fraud doesn’t require the involvement of telemedicine, with advances in telemedicine come “advances” in criminal schemes.

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“Loco Tenens” and Agency Pay $700K to Settle Alleged Telemedicine Kickback Scheme – Medical Group Minute

Mark — Wed, 17 Jul 2024 09:31:00 +0000

With physician shortages in many specialties opening up lucrative opportunities for locums work, temporary staffing is undergoing a boom.

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Telehealth Plus Tell a Lie Means Likely End Up in Prison for Telefraud – Podcast

Mark — Thu, 11 Jul 2024 10:15:00 +0000

Telehealth can be used to vastly improve patients’ access to medical care. At the same time, it can be used to vastly improve criminals’ access to Medicare dollars. It shouldn’t be that difficult for physicians to assess the bona fides of their proposed participation in a telehealth “business model” when the ones doing the proposing are telemarketers.

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“Loco Tenens” and Agency Pay $700K to Settle Alleged Telemedicine Kickback Scheme – Podcast

Mark — Thu, 27 Jun 2024 10:25:00 +0000

With physician shortages in many specialties opening up lucrative opportunities for locums work, temporary staffing is undergoing a boom.

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Telehealth Plus Tell a Lie Means Likely End Up in Prison for Telefraud – Medical Group Minute

Mark — Wed, 19 Jun 2024 09:13:00 +0000

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Conviction for $70 Million in Fake Medicare Claims Likely Sending Doc to Big House

Mark — Mon, 03 Jun 2024 14:44:00 +0000

Although health care fraud doesn’t require the involvement of telemedicine, with advances in telemedicine come “advances” in criminal schemes.

The post Conviction for $70 Million in Fake Medicare Claims Likely Sending Doc to Big House appeared first on Wisdom. Applied..

Telehealth Plus Tell a Lie Means Likely End Up in Prison for Tele-fraud

Mark — Mon, 06 May 2024 13:30:00 +0000

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“Loco Tenens” and Agency Pay $700K to Settle Alleged Telemedicine Kickback Scheme

Mark — Mon, 25 Mar 2024 16:31:55 +0000

With physician shortages in many specialties opening up lucrative opportunities for locums work, temporary staffing is undergoing a boom.

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Pharmacy President Sentenced For Pill and Pain Cream Scam. Will Physicians Become Cellmates?

Mark — Mon, 29 Jan 2024 17:10:04 +0000

In cases such as these the usual process is for prosecutors to follow the web of the alleged conspiracy.

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A Bitter Pill: Pharmacy Settles FCA Claim. Physicians Can Suffer Side Effects

Mark — Mon, 19 Jun 2023 15:59:41 +0000

Although you might stay miles away from anything related to compounded medication, the waiver of co-pay issue haunts many medical groups and other providers.

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Pharmacist Compounds Cream With Kickbacks – Gets 18 Months Behind Bars. A Lesson for Physicians.

Mark — Mon, 03 Apr 2023 16:05:49 +0000

Unfortunately, pain cream scams often spread to physicians, sometimes even to hospital-based physicians looking to pick up a little (well, actually, a lot) of cash on the side.

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OIG Hangs Up on Telehealth Fraud. Should You Answer the Call?

Mark — Mon, 26 Dec 2022 14:18:51 +0000

Often lost on physicians is the fact that even though they might not be the moving party involved in the scam, liability falls on both sides of a kickback scheme.

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Doctor Walks Into DME Telehealth Fraud Scheme. Brace Yourself to Avoid the Same Fate.

Mark — Mon, 31 Oct 2022 13:42:00 +0000

With lots of money at play, it’s not hard to see why the government is motivated to investigate and prosecute in order to obtain huge fines and the benefit of the forfeiture millions of dollars.

The post Doctor Walks Into DME Telehealth Fraud Scheme. Brace Yourself to Avoid the Same Fate. appeared first on Wisdom. Applied..

OIG Releases Special Fraud Alert on Telemedicine Arrangements

Mark — Mon, 25 Jul 2022 15:11:55 +0000

With lots of money at play, it’s not hard to see why the government is motivated to investigate and prosecute in order to obtain huge fines and the benefit of the forfeiture millions of dollars.

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Telemedicine Might Be the Cure That Infects Your Practice – Success in Motion

Mark — Tue, 12 Jul 2022 11:00:00 +0000

Ride along with Mark as he discusses the need to carefully vet your participation in any telemedicine or telehealth arrangement.

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Ghost of Eliot Ness Busts 345 Defendants in Nation’s Largest Opioid-Fueled Healthcare Fraud Extravaganza – $6 Billion In Alleged False Claims – Podcast

Mark — Thu, 15 Apr 2021 11:00:00 +0000

In a move reminiscent of prohibition-era crime fighter Eliot Ness, the U.S. Department of Justice recently announced a coordinated enforcement action against 345 alleged healthcare criminals...

The post Ghost of Eliot Ness Busts 345 Defendants in Nation’s Largest Opioid-Fueled Healthcare Fraud Extravaganza – $6 Billion In Alleged False Claims – Podcast appeared first on Wisdom. Applied..

Ghost of Eliot Ness Busts 345 Defendants in Nation’s Largest Opioid-Fueled Healthcare Fraud Extravaganza – $6 Billion In Alleged False Claims – Medical Group Minute

Mark — Wed, 17 Mar 2021 11:00:00 +0000

In a move reminiscent of prohibition-era crime fighter Eliot Ness, the U.S. Department of Justice recently announced a coordinated enforcement action against 345 alleged healthcare criminals, including over 100 physicians and other licensed (for now) healthcare professionals, in 51 judicial districts.

The post Ghost of Eliot Ness Busts 345 Defendants in Nation’s Largest Opioid-Fueled Healthcare Fraud Extravaganza – $6 Billion In Alleged False Claims – Medical Group Minute appeared first on Wisdom. Applied..

Ghost of Eliot Ness Busts 345 Defendants in Nation’s Largest Opioid-Fueled Healthcare Fraud Extravaganza – $6 Billion In Alleged False Claims

Mark — Mon, 12 Oct 2020 13:00:00 +0000

In a move reminiscent of prohibition era crime fighter Eliot Ness, the U.S. Department of Justice recently announced a coordinated enforcement action against 345 alleged healthcare criminals, including over 100 physicians and other licensed (for now) healthcare professionals, in 51 judicial districts.

The post Ghost of Eliot Ness Busts 345 Defendants in Nation’s Largest Opioid-Fueled Healthcare Fraud Extravaganza – $6 Billion In Alleged False Claims appeared first on Wisdom. Applied..

380 Individuals Charged in Massive Fake Cancer Screening Manhunt

Mark — Mon, 21 Oct 2019 13:00:13 +0000

Telemedicine is the future.

Fraudulent telemedicine is apparently already here.

Is anyone actually shocked?

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No Matter How Hard They Tri[Care], Another Compounded Medicine Scam Creams Out

Mark — Mon, 10 Dec 2018 16:00:52 +0000

There are many legitimate ways for physicians to increase their practice income. They include, depending on state law, investments in compounding pharmacies and the direct dispensing of pharmaceuticals.

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Bedless Hospitals and Physician Opportunities – Podcast

Mark — Thu, 02 Mar 2017 17:00:00 +0000

If, as I’ve written before and as we’re now beginning to see, a hospital need not have beds, then what’s the difference between a hospital (which physicians can’t develop as a Medicare facility) and an ASC?

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State Licensing and Anti-Competitive Bureaucracy – Podcast

Mark — Thu, 05 Jan 2017 17:00:31 +0000

At a time when telemedicine and telehealth are poised for rapid expansion, many state medical boards are doubling down on what appears to be their true purpose: enacting and enforcing anti-competitive measures to protect those already licensed in the jurisdiction.

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State Licensing and Anti-Competitive Bureaucracy – Medical Group Minute

Mark — Wed, 16 Nov 2016 17:00:55 +0000

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Hospitals No Longer Like to Make the Bed

Mark — Mon, 19 Sep 2016 23:05:22 +0000

As hospitals move toward “bedless” models, the real shift isn’t physical, it’s economic. Physician groups should be paying attention.

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State Licensing and Anti-Competitive Bureaucracy

Mark — Mon, 22 Feb 2016 16:07:23 +0000

Explore how bureaucracy in medical boards creates barriers to competition and impacts telemedicine expansion.

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Bedless Hospitals and Physician Opportunities

Mark — Mon, 14 Sep 2015 15:00:59 +0000

Brick and mortar doesn’t change thinking. Thinking changes brick and mortar.

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