U.S — Frewsburg Chiropractor Pleads Guilty To Healthcare Fraud 

From the Post-Journal news article: Assistant U.S. Attorney Maura K. O’Donnell, who is handling the case, stated that the defendant, then a full-time teacher at Salamanca High School and a part time chiropractor in Salamanca submitted false claims for payment to Medicare and private insurance companies seeking reimbursement for health care services allegedly provided in […]

U.S — Passaic doctor loses license over dangerous drug 

Get ready for my clinical practice by Ryo FUKAsawa

From the  news article: The doctor’s license revocation is permanent: No application to practice medicine will be considered  from him “at any point in the future,” the state Board of Medical Examiners said. In addition, he must divest himself of any financial interest – now or in the future – in the practice of medicine. […]

U.S — Owner of Randallstown medical company pleads guilty to extortion, health care conspiracy 

Stethoscope by osseous

From the Fox 45  news article: Harry Crawford, 56, of Baltimore, pleaded guilty to the extortion, as well as to conspiracy to commit health care fraud in connection with schemes to defraud Medicaid and other health benefit programs, and conspiracy to defraud the United States for not reporting income from the health care fraud scheme […]

U.S. — Recognizing and preventing medical device fraud 

Drugs by Images Money

From the DHealthcare Dive  news article: …In January, the former owner and the former operator of a California durable medical equipment company were sentenced for paying physicians kickbacks for patient referrals and prescriptions for unnecessary equipment — primarily power wheelchairs — which were used to support fraudulent Medicare claims… Read more at the link: http://www.healthcaredive.com/news/recognizing-and-preventing-medical-device-fraud/430686/

U.S — Houston-area man gets 30 years in prison for Medicare fraud 

From the Chron news article: Chimaroke Echenwune was found guilty of trying to scam more than $1.3 million from Medicare and Medicaid through an ambulance company he ran with his wife, according to a press release from the Texas attorney general. That company, Diamex EMS, billed mentally handicapped patients for hospital transports that never occurred, […]

U.S. — 2 Individuals Charged in $31-Million Health Care Fraud Scheme 

Pills 1 by e-Magine Art

From the Pharmacy Times news article: …Additionally, Francois also falsely stated that none of the Atlantic pharmacists had been disciplined by the US Drug Enforcement Administration (DEA). Francois had actually owned a pharmacy that the DEA suspended in 2004. The defendants allegedly submitted $37 million in false and fraudulent claims to TRICARE and FEHBP through […]

Dallas-Area Doctor Convicted of Fraud Faces $1.2M Penalty 

From the WBAP 24/7 News article: Government officials have obtained a more than $1.2 million judgment against a North Texas physician serving 11 years in prison for health care fraud. Dr. Tariq Mahmood of Cedar Hill was named in Monday’s judgment announced in Tyler. Mahmood in 2014 was convicted of conspiracy, identity theft and health care […]

U.S. — Kentucky Doctor Found Guilty of Performing Unnecessary Heart Procedures 

From the Insurance Journal news article: …The statement says evidence presented during the 7-week trial showed that Paulus performed cardiac stent procedures on more than 70 patients who didn’t need them at King’s Daughters Medical Center in Ashland from 2008 until 2013. The statement says he falsified records to make it appear that the procedures […]

Opinion: One Often Forgotten Cause of Healthcare Fraud… 

Drugs by Images Money

From the Physician’s Money Digest news article: …Upcoding or upbilling may be so common that we no longer think of it as fraud. A 2008 anonymous survey of 110 interns from the University of Chicago Medical Center and two independent residency programs found 13% of respondents admitted to falsifying medical records but only 91% of rated […]

Security: Data Theft, Social Engineering Threaten Health IT Networks 

From the Healthcare IT Infrastructure news article: …Healthcare IT officials reported social engineering and data theft caused more concern than cyber terrorism, IoT, organized crime, or insider threats. Social engineering attacks were the most common security threat across all organizations and ransomware was the most common security exploit. Ransomware holds organization data hostage and demands […]