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Atlanta Man Pleads Guilty to Five Years of Fraud
The Department of Justice, the FBI, the Department of Health and Human Services (HHS) and the Louisiana State Attorney General’s Office were all involved in the uncovering of a fraud case that billed Medicare for $1.15 million. Atlanta resident Fred D. Belcher, 61, pleaded guilty to billing for unnecessary durable medical equipment (DME).
Continue reading...Caller ID Can Be Misleading
31. January 2012
A recent case in Illinois has prompted officials to urge consumers to pay especially close attention to the phone calls they’re getting. An Illinois telemarketing firm will pay half a million dollars in settlement fees to the Federal Trade Commission after it was caught calling individuals who had signed up for a no-call list and [...]
Continue reading...Two Cases Uncover $49 Million Fraud
30. January 2012
Two individuals have pleaded guilty in the case of a Miami health care agency’s acts of health care fraud. Marietha Morales, 38, and Eduardo Saborit-Dominguez, 48, each face up to 10 years in prison. Under a federal endictment, Morales and Saborit-Dominguez were charged with conspiring to bill Medicare for unnecessary home health care and therapy [...]
Continue reading...More than $4 Million in Fraudulent Charges Uncovered
23. January 2012
The Department of Health and Human Services, Office of the Inspector General (HHS-OIG), with the collaboration of the United States Secret Service (USSS) and the Federal Bureau of Investigation (FBI) has uncovered a massive health care fraud operation that led to the arrests of 10 people. They include the presidents and employees of four medical organizations, [...]
Continue reading...Woman Pleads Guilty in $200 Million Medicare Fraud Case
20. January 2012
The Department of Justice, the FBI and the Department of Health and Human Services (HHS) together have been investigating the case of $200 Million in fraudulent claims to Medicare under the guidance of American Therapeutic Corporation (ATC); its management company, Medlink Professional Management Group Inc.; and the American Sleep Institute (ASI). Involved in the scheme [...]
Continue reading...Medical Imaging Company Sued for $150 Million Dollars Under False Claims Act
12. January 2012
A radiology physician and his wife are credited with uncovering a massive case of health care fraud, after they called the government and filed a qui tam whistleblower suit under the False Claims Act. Detroit’s Universal Imaging, Inc., it’s current and former owner, and primary care physician Gwendolyn Washington are named in a $150 Million [...]
Continue reading...Why Seniors are Targeted
11. January 2012
The Federal Bureau of Investigation (FBI) works to promote fraud awareness. They acknowledge that seniors are often an easy target for those looking to take advantage of others. They provide tips for avoiding fraud with their Common Fraud Schemes webpage. The page highlights a variety of frauds that are often perpetrated against seniors. If you [...]
Continue reading...Fraud Case Prosecutions High in 2011
3. January 2012
According to an article by the Transactional Records Access Clearinghouse (TRAC) at Syracuse University, the Department of Justice had a record breaking year for health care fraud prosecutions in 2011. It claims monetary recoveries from such crimes are also on the rise. There were 1,235 new cases reported, the most in the twenty years since [...]
Continue reading...Reading Your Medicare Statement is a Necessary Practice
21. December 2011
Detecting Medicare fraud is more easily done when recipients are proactive about trying to avoid it. One of the best ways to do that is to pay close attention to the statements that are sent by Medicare every few months. The following excerpt from the Illinois Senior Medicare Patrol Program highlights some of the red [...]
Continue reading...OIG Seeks Public Assistance to Capture Health Care Fugitives
6. December 2011
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The U.S. Department of Health and Human Service’s Office of Inspector General (OIG) is currently looking for more than a hundred healthcare fugitives who are charged with defrauding Medicare and Medicaid out of 400 million dollars. OIG’s most wanted fugitives website highlights the top criminals on its list. Visitors to the website can view photos and read descriptions [...]
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6. February 2012
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