Medicare Fraud

In the United States, Medicare fraud is a general term that refers to an individual or corporation that seeks to collect Medicare health care reimbursement under false pretenses. There are many different types of Medicare fraud, all of which have the same goal: to collect money from the Medicare program illegitimately.The total amount of Medicare fraud is difficult to track, because not all fraud is detected and not all suspicious claims turn out to be fraudulent. According to the Office of Management and Budget, Medicare "improper payments" were $47.9 billion in 2010, but some of these payments later turned out to be valid.
Posts about Medicare Fraud
  • Prime Pediatrics Dalton GA (New Medicaid Fraud Investigation)

    … The Medicare fraud lawyers at MahanyLaw are investigating a report that Ayman Rifai M.D and Prime Pediatrics are violating Medicaid laws by improperly billing patients. Our investigation is in early stages and no conclusions have been reached. Medicaid is the insurer of last resort in Georgia. That translates to 894,000 low and middle income…

    Due Diligence- 20 readers -
  • Doc Injects Patients with Poison in Shocking Medicare Fraud Plot

    … shaped by the tyrannical Soviet Army particularly to its’ Jews…” In fact, his upbringing in the USSR made him perceive that his actions were not “terribly wrong” and were the “ordinary course of business”. I suspect that during his younger days in the former Soviet Union, stealing millions from the government would not be “ordinary” and would…

    Due Diligence- 13 readers -
  • Florida Eye Clinic Accused of Medicare Fraud

    … Two former billing supervisors have accused the Florida Eye Clinic of a massive Medicare fraud scheme. William Lovell and Rochelle Mendez say the clinic billed Medicare for services never rendered. They say the clinic also overcharged for other services. According to the lawsuit, Florida Eye Clinic is owned by eight physicians. It employs 12…

    Due Diligence- 20 readers -
  • Fla Hospital Pays $12mm in False Claims Act Whistleblower Case

    … The South Miami Hospital has agreed to pay approximately $12 million to settle charges that it violated the federal False Claims Act. Prosecutors say the nonprofit hospital submitted claims to Medicare for medically unnecessary pacemaker surgeries and cardiac electrophysiology studies. The fraud was tied to a single physician, Dr. John Dylewski…

    Due Diligence- 21 readers -
  • Pharmacist Guilty in Scheme Involving Counterfeit Drugs

    … Walter Beich, a 63-year-old pharmacist from Illinois, pled guilty to a Medicaid and Medicare fraud scheme involving filling prescriptions with counterfeit drugs. According to court records, Beich pled guilty to healthcare fraud and aggravated identity theft. He was facing trial on twelve charges before changing his plea. Beich’s Medicare Fraud…

    Due Diligence- 16 readers -
  • Medicare Fraud to Murder? Man who Owed Money Murdered

    … Readers of this blog know that we have long claimed that Medicare fraud is not a victimless crime. Often patients are harmed, receive substandard care or receive treatments and drugs they do not need simply so some doctor or clinic operator can bill more money to Medicare. Obviously, these schemes also hurt taxpayers. Medicare and Medicaid…

    Due Diligence- 12 readers -
  • 10 FLA Assisted Living Facility Owners Charged with Medicare Fraud

    … equipment to patients in the facilities. This case is noteworthy because it involves the prosecution of the recipients of the bribes. Kickbacks and bribes in the healthcare field violate the Anti-Kickback Statute and constitute Medicare fraud if tax dollars are involved. According to Miami’s U.S. Attorney, the following people were charged…

    Due Diligence- 16 readers -
  • Medicare Fraud Agency Turns 40… A Look Back

    … to have saved taxpayers $20.6 billion in just 2015. This post looks at both the history of the OIG and its amazing success in combatting Medicare fraud. The Inspector General model of oversight in America dates back to the birth of our nation and the first Continental Congress. Worried that the army might be misspending its precious funds, Congress…

    Due Diligence- 19 readers -
  • Medicaid Fraud Doc Accused of Harming Tots

    … habits in every way possible.” Schneider faces five years on each of the 11 counts. At age 78, he could certainly spend the rest of his life behind bars. (Federal Medicare fraud charges are punishable by 10 years in prison, double if a patient was harmed.) Florida Medicaid Fraud and Whistleblower Awards This case was initiated by concerned parents…

    Due Diligence- 25 readers -
  • Health Information Coder to Get $5 Million Award

    … Coders and billing professionals are the backbone of the healthcare industry. Without proper coding, doctors, therapists and hospitals don’t get paid. Because of their unique position within the healthcare industry, a coder is often in the best place to spot fraud. As healthcare costs spiral out of control, the Centers for Medicare and Medicaid…

    Due Diligence- 10 readers -
  • Kwashiorkor, Upcoding, Medicare Fraud & Whistleblower Awards

    … False Diagnosis and Upcoding of Kwashiorkor Cases Can Lead to Medicare Fraud Whistleblower Awards Kwashiorkor and upcoding are not household words in the U.S. Many folks in the healthcare industry know the terms however. And in a weird way, they are usually related, at least in this country. We will start with Kwashiorkor first. Kwashiorkor…

    Due Diligence- 20 readers -
  • Whistleblower Gets $500,000+ in Medicare Patient Referral Scheme

    … and take advantage of the elderly and disabled.” He also acknowledged that the scheme put patients at risk. Whistleblower Awards and Medicare Fraud A healthcare whistleblower reporting Medicare or Medi-Cal fraud is entitled to receive a percentage of whatever the government receives from the wrongdoer. To qualify for a whistleblower award, one…

    Due Diligence- 9 readers -
  • Medicare Fraud: Pharmacy Owner Obstructs Audit

    … When I was a child, I hated to go to the dentist. My parents tell me I was grounded after I hid the car keys hoping that would keep me from the dentist. Not only didn’t it work, I was also grounded. Unfortunately, some healthcare providers think if they try to obstruct a Medicare fraud audit, somehow their tactic will work. It doesn’t. Today…

    Due Diligence- 26 readers -
  • Drobot Cooperating, Sentencing Delayed – Healthcare Fraud Post

    … your identity and protect you from illegal retaliation. For more information, contact attorney Brian Mahany at *protected email* or by telephone at (414) 704-6731 (direct). All inquiries are always kept confidential. MahanyLaw – America’s Medicare Fraud Whistleblower Lawyers The post Drobot Cooperating, Sentencing Delayed – Healthcare Fraud Post appeared first on Mahany Law. …

    Due Diligence- 26 readers -
  • Whistleblower Receives $4.5 Million Award

    … Medicare fraud whistleblower page and read dozens of more stories on our text searchable blog. MahanyLaw – America’s Medicare Fraud Whistleblower Lawyers The post Whistleblower Receives $4.5 Million Award appeared first on Mahany Law. …

    Due Diligence- 9 readers -
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