From the Fraud Magazine news article: …Although losses from ransomware were relatively minor in its earlier years, they’ve grown significantly from about $24 million in 2015 to $1 billion in 2016, according to Danny Palmer in his Sept. 8, 2016, ZDNet article. And back in May 2017, Jonathan Berr of CBS’s Moneywatch said that losses […]
US — Complexity of health care industry enables fraud schemes, NE Ohio doctors charged for overbilling
From the News 5 Cleveland news article: …Between 2011 and 2018, Dr. Ashis Rakhit, 65, and Dr. Jayati Rakhit, 56, allegedly recorded fake symptoms present in their patients in order to perform unnecessary and expensive tests. The tests included nuclear stress tests, cardiac catheterizations, bone density scans and EKGs. The two longtime doctors are also […]
U.K. — ‘Staggering’ trade in fake degrees revealed
From the BBC news article: …A trawl through the list of Axact UK buyers, seen by the BBC, reveals various NHS clinical staff, including an ophthalmologist, nurses, a psychologist, and numerous consultants also bought fake degrees. A consultant at a London teaching hospital bought a degree in internal medicine from the fake Belford University in […]
US: Texas men accused of $150M fraud: phony Medicare billing, money laundering
From the Valley Morning Star news item: …All four men are charged with conspiracy to commit health care fraud and conspiracy to commit money laundering. They also are accused of fraudulently keeping patients on hospice for multiple years to increase revenue from Medicare. Prosecutors say Mesquias and McInnis used the funds to buy a Porsche, […]
Report: Illinois’ home health care industry rife with fraud, tainted by unscrupulous physicians
From the Chicago Tribune news report: …For adults hobbled by disability or disease who want to stay out of nursing homes or hospitals, home health care services can be a godsend. For criminals who want to tap into federal Medicare dollars, it can represent a loosely guarded bank vault. A Tribune investigation reveals that Illinois […]
USA — Owner of home health company sentenced to 80 years in prison for Medicare fraud
From the Becker’s Hospital Review news article: The owner of a home health company in Houston was sentenced Dec. 8 to 80 years in prison for his role in a $13 million Medicare fraud scheme and for filing false tax returns, according to the Department of Justice. In November 2016, Ebong Tilong pleaded guilty to conspiracy […]
U.S. — Guilty of Insurance Fraud, Illinois Chiropractor Gets 20-Month Prison Term
From the Insurance Journal item: A suburban Chicago chiropractor has been sentenced to 20 months in prison for billing an insurance company more than $4 million for treatment that was unnecessary or never provided. Federal prosecutors said Thursday 46-year-old Steven Paul of Northbrook pleaded guilty to one count of health care fraud. U.S. District Court […]
U.S. — Prosecutors insist eye doc stole $136 million from Medicaid
From the ABC News article: …Prosecutors are seeking 30 years. They say the doctor subjected elderly patients to painful tests and treatments they didn’t need, for diseases they didn’t have, to support a vacation home in his native Dominican Republic, lavish trips to Europe and outside business interests. The government also says he bribed New […]
Canada: Pharmacist fakes robbery at his own store to cover up fentanyl trafficking
From the Ottawa Citizen article: An Ottawa pharmacist who faked a robbery at his own drugstore to cover up the “mountains” of fentanyl patches he trafficked has been found guilty of his crimes, in what appears to be the city’s first case of narcotics trafficking in the profession and the latest effort to deal with […]
Ex-WellCare general counsel gets six months in U.S. prison
From the Reuters news article: A former general counsel of insurer WellCare Health Plans Inc was sentenced on Wednesday to six months in prison for making a false statement to Florida’s Medicaid program as part of what prosecutors called a $35 million healthcare fraud scheme. Thaddeus Bereday, who was indicted in 2011 along with four […]
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