Case Study: Florida Nurse Convicted of $200 million Medicare Fraud 

/
Case Study: Florida Nurse Convicted of $200 million Medicare Fraud 

Medicare fraud poses a significant threat to the integrity and sustainability of the Medicare program. Various estimates suggest Medicare fraud drains up to $60 billion from the healthcare system each year. This massive level of fraud not only harms taxpayers but also jeopardizes medical care for the 59 million Americans who rely on Medicare. With 10,000 new Medicare enrollees daily and rising healthcare costs, addressing fraud is crucial for Medicare's future solvency and ability to deliver service

Read More

“Collective”: An Exposé of Vast Heath Care Fraud in Romania

/
“Collective”: An Exposé of Vast Heath Care Fraud in Romania

Alexander Nanau’s 2019 Academy Award winning documentary “Collective” tells the story of a tragic 2015 nightclub fire that led to the discovery of Romania’s vast health care fraud. Even though the fire was the deadliest in the country’s history, it wasn’t until several victims started dying of non-life-threatening wounds that residents began investigating the links between the nightclub fire deaths and the country’s corrupted hospital industry. The incident sparked outrage over the government’s health care system and inspired a whistleblower to disclose the internal secrets to the media. Nanau’s heartbreaking depiction serves as a rallying cry for whistleblowers to act, especially in cases of life or death.

Read More

Common Telehealth Fraud Schemes You Should Know About

/
Common Telehealth Fraud Schemes You Should Know About

Traditionally, telehealth has been used to treat patients who cannot consult with a physician in an office setting. Such patients often live in rural areas that lack nearby physicians. Technological advances have led to new types of telehealth services, which are now used for public education, administrative functions and other purposes. Additionally, as the coronavirus pandemic demonstrates, the demand for telehealth services will continue to grow because these services can be more convenient and safe. These factors have caused rapid growth in the telehealth industry, as well as new types of fraud.

Read More

It’s Time to Ring the Alarm on Emergency Vehicle Fraud Schemes

/
It’s Time to Ring the Alarm on Emergency Vehicle Fraud Schemes

Fraud is pervasive in the health care field, but one area that has recently come into focus is the ambulance transport industry. While most emergency vehicle providers are ethical, there are a few out there who have taken a detour down the wrong road. Here are examples of common fraud schemes to look out for in this industry, along with real-life examples of when these schemes were perpetrated.

Read More

How to Avoid This Genetic Testing Scam That Targets Seniors

/
How to Avoid This Genetic Testing Scam That Targets Seniors

CBS News recently reported the results of an investigation into a large-scale, wide-reaching Medicare fraud scam that has been affecting dozens of people across the United States. The story illustrates the struggles faced by senior citizens who were targeted primarily by a company called Genexe Health, which claims to be a genetic testing “one-stop shop.”

Read More