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News

Woman’s Death Exposes $80 Million in Fraud

By Mario Shtika | 06/08/2023 | 0
Syringe connected to a thin needle with a small droplet of liquid at the tip.

Case shows the personal consequences of health care fraud.

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Update: Pharmacist Gets Two Years in Prison

By Mario Shtika | 06/08/2023 | 0
Brightly lit pharmacy aisle with tall shelves stocked with various medications and health products.

Beneficiaries received different drug creams than those billed to Medicare.

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Doctors Pay for Unsupported Diagnoses to MA Program

By Mario Shtika | 06/01/2023 | 0
Hands writing on a notepad during a business meeting or consultation.

Allegations say they misrepresented the severity of illnesses.

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People on Medicaid Targeted

By Mario Shtika | 05/31/2023 | 0
Stethoscope over a "MEDICAID" card and medical forms on a wooden desk.

Scams follow the end of the public health emergency.

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Nursing Home Settles Lawsuit

By Mario Shtika | 05/26/2023 | 0
Black wheelchair indoors next to a potted green plant and light furniture.

Residents were disenrolled from Medicare Advantage plans without consent.

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Couple Charged in Psychotherapy Scheme

By Mario Shtika | 05/17/2023 | 0
Hands clinking coffee mugs together around a wooden table during a meeting or social gathering.

Senior living facility residents allegedly invited to breakfast meetings to get their information.

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Wound Treatment Firm Settles Allegations

By Mario Shtika | 05/17/2023 | 0
Elderly hand applying a bandage to an arm for injury care.

They billed separately for E&M services that were included in wound care.

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Five Indicted in Psychotherapy Services Scheme

By Mario Shtika | 05/16/2023 | 0
Hands writing on a document while a person sits blurred in the background.

Medicare beneficiaries allegedly recruited and required to sign blank sign-in sheets.

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Telemedicine Doctor Pleads Guilty

By Mario Shtika | 05/16/2023 | 0
Stethoscope near smartphone with medical icons: heart, plus sign, and droplets.

He admitted ordering millions of dollars of unnecessary genetic tests and orthotic braces.

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Update: Vascular Surgeon Sentenced

By Mario Shtika | 05/10/2023 | 0
Anatomical diagram showing major arteries branching from the aortic arch in the chest.

He prepared inaccurate medical records to justify fraudulent billing.

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