Billing Fraud

    Medicare Made $6.7 Billion Wrong Payments


    (PREVENT DISEASE NEWS) – There is something seriously wrong with the way attention deficit hyperactivity disorder (ADHD) is diagnosed in young children in the US, with over 1 million kids being potentially misdiagnosed just because they are the youngest in their kindergarten year, with the youngest in class twice as likely to be on stimulant medication. (more…)


    (NATURAL NEWS) –  The Affordable Care Act is gutting the US economy, inadvertently knifing out chunks of multiple millions of dollars from the private sector, as the unintended consequences of crony government intervention take hold. (more…)


    One Therapist, $4 Million in 2012 Medicare Billing


    (ANH USA) – Are We About to Make Criminals Even More Violent? At least 1 million American prisoners suffer from mental illness, and of these only 15% of local inmates and 27% of state prisoners currently receive some treatment in the form of psychotropic drugs. (more…)


    (HUFFINGTON POST)As we enter March, the nightmare that is Obamacare continues to seek and destroy the pocketbooks of hardworking Americans. (more…)


    Depression. It sounds depressing just saying the word. But, the word has come to mean many things in American society. For some, there’s the image of a woman sitting in a chair crying all day, the man stretched out on the sofa drinking beer while saying he’s “looking for work,” or the beggar on the (more…)


    (NEWSMAX) – Millions of new enrollees are signing up for Medicaid due to its expansion under Obamacare, but many will be shocked to learn that their estates can be held liable for the costs of their healthcare. (more…)


    (PROPUBLICA) – With just a handful of prescriptions to his name, psychiatrist Ernest Bagner III was barely a blip in Medicare’s vast drug program in 2009.  (more…)


    (SEATTLE TIMES)As thousands of state residents enroll in Washington’s expanded Medicaid program, many will be surprised at fine print: After you’re dead, your estate can be billed for ordinary health-care expenses. State officials are scrambling to change (more…)


    16 Apr (CHICAGO TRIBUNE –  An elderly man was admitted to Sacred Heart Hospital on Chicago’s West Side in late February, intubated and sedated for more than a week and scheduled for an emergency tracheotomy even though it was medically unnecessary, federal prosecutors allege.) (more…)


    7 Mar (LEW ROCKWELL) – I thought it might be a good time to revisit topics no one in health care management at the hospital, government or insurance level wants discussed or understood.  I find it interesting that for all the talk of “health care reform” none of what I am about to outline is addressed in the Unaffordable Care Act.  That the following is not addressed by this “reform” is compelling proof, I think, that the health care legislation oozing out of Washington is like most of the rest: a pay to play scheme, one characterized by bribery and favors, as (more…)


    28 Feb – When David Belk MD began his medical career more than a decade ago, people were already concerned about the skyrocketing cost of healthcare.  However, as much as everyone knew medical costs were high, no one in his profession seemed to know why.  None of his colleagues could answer simple questions about what, specifically, was costing so much. This seemed to be a real problem: How can doctors begin to control costs if they don’t know what they are? (more…)


    2 Dec (60 MINUTES) – If you want to know why health care costs so much in this country, consider this, it’s estimated that $210 billion a year — about 10 percent of all health expenditures — goes towards unnecessary tests and treatments and a big chunk of that comes right out of the pockets of American taxpayers in the form of M (more…)


    13 Nov (ALLIANCE FOR NATURAL HEALTH) – Does AARP really speak for the elderly?  Or the AMA for doctors?  In Washington, AARP (the American Association of Retired Persons) is said to represent the interests of retirees in arguments about medicine. (more…)


    6 Nov (OMSJ) – Last week, OMSJ responded to reports that scientists at Imperial College in London had developed a new HIV test that is “10 times more sensitive and a fraction of the cost of current methods.”  Shortly after we published our report, Quest Diagnostics demande (more…)


    5 Sep (MERCOLA) – Only weeks after pleading guilty to criminal charges that it promoted its anti-seizure drug Depakote for uses not approved by the U.S. Food and Drug Administration (FDA), Abbott Labs is being sued again for similar charges with a different drug.  The new (more…)


    6 Aug (NaturalNews) – The agencies and bureaucracies of our Leviathan government were created for our own good, we are constantly told, which is also the excuse we’re given anytime a group of lawmakers or citizens calls for any of them to be dismantled. That excuse may no longer hold water for the Food and Drug Administration which, (more…)


    17 Jul NEW YORK (Reuters) – Operators of a nationwide black market have illegally sold more than $100 million of expensive HIV medications and other drugs obtained from patients on the government-run Medicaid health insurance plan, U.S. authorities said on Tuesday.  Four dozen people were charged in documents unsealed in Manhattan federal court with running a scheme to repackage and sell medication bought on the street from recipients of Medicaid (more…)


    9Jul (NATURALNEWS) – Those of us who have long been describing the pharmaceutical industry as a “criminal racket” over the last few years have been wholly vindicated by recent news. Drug and vaccine manufacturer Merck was caught red-handed by two of its own scientists faking vaccine efficacy data by spiking blood samples with (more…)


    3 Jul (PROPUBLICA) – On Monday, the Department of Justice announced that drug company GlaxoSmithKline agreed to pay a $3 billion fine, the largest health care fraud fine in the history of the United States.  This fine is just the latest in a string of drug company penalties for improper promotion of drugs for “off-label,” or unapproved, uses. (more…)


    23 Mar (WASHINGTON) – Quest Diagnostics Incorporated (Quest) and Laboratory Corporation of America (LabCorp), the nation’s two largest laboratories, are currently involved in a multi-billion dollar Medicare scam, according to a lengthy and critical expose published in one of the medical laboratory industry’s leading trade publications. (more…)


    13 Nov | WASHINGTON –  Over the last year, the Obama administration has aggressively pushed a $433-million plan to buy an experimental smallpox drug, despite uncertainty over whether it is needed or will work.  Senior officials have taken unusual steps to secure the contra (more…)


    4 Nov | MIAMI Fl. – A federal judge slapped two Miami sisters convicted of Medicare fraud with 14-year prison sentences, chastising them for exporting their HIV-clinic scam to Detroit. (more…)


    (HUFFINGTON POST)As we enter March, the nightmare that is Obamacare continues to seek and destroy the pocketbooks of hardworking Americans. (more…)


    Depression. It sounds depressing just saying the word. But, the word has come to mean many things in American society. For some, there’s the image of a woman sitting in a chair crying all day, the man stretched out on the sofa drinking beer while saying he’s “looking for work,” or the beggar on the (more…)


    (NEWSMAX) – Millions of new enrollees are signing up for Medicaid due to its expansion under Obamacare, but many will be shocked to learn that their estates can be held liable for the costs of their healthcare. (more…)


    (PROPUBLICA) – With just a handful of prescriptions to his name, psychiatrist Ernest Bagner III was barely a blip in Medicare’s vast drug program in 2009.  (more…)


    (SEATTLE TIMES)As thousands of state residents enroll in Washington’s expanded Medicaid program, many will be surprised at fine print: After you’re dead, your estate can be billed for ordinary health-care expenses. State officials are scrambling to change (more…)


    16 Apr (CHICAGO TRIBUNE –  An elderly man was admitted to Sacred Heart Hospital on Chicago’s West Side in late February, intubated and sedated for more than a week and scheduled for an emergency tracheotomy even though it was medically unnecessary, federal prosecutors allege.) (more…)


    7 Mar (LEW ROCKWELL) – I thought it might be a good time to revisit topics no one in health care management at the hospital, government or insurance level wants discussed or understood.  I find it interesting that for all the talk of “health care reform” none of what I am about to outline is addressed in the Unaffordable Care Act.  That the following is not addressed by this “reform” is compelling proof, I think, that the health care legislation oozing out of Washington is like most of the rest: a pay to play scheme, one characterized by bribery and favors, as (more…)


    28 Feb – When David Belk MD began his medical career more than a decade ago, people were already concerned about the skyrocketing cost of healthcare.  However, as much as everyone knew medical costs were high, no one in his profession seemed to know why.  None of his colleagues could answer simple questions about what, specifically, was costing so much. This seemed to be a real problem: How can doctors begin to control costs if they don’t know what they are? (more…)


    2 Dec (60 MINUTES) – If you want to know why health care costs so much in this country, consider this, it’s estimated that $210 billion a year — about 10 percent of all health expenditures — goes towards unnecessary tests and treatments and a big chunk of that comes right out of the pockets of American taxpayers in the form of M (more…)


    13 Nov (ALLIANCE FOR NATURAL HEALTH) – Does AARP really speak for the elderly?  Or the AMA for doctors?  In Washington, AARP (the American Association of Retired Persons) is said to represent the interests of retirees in arguments about medicine. (more…)


    6 Nov (OMSJ) – Last week, OMSJ responded to reports that scientists at Imperial College in London had developed a new HIV test that is “10 times more sensitive and a fraction of the cost of current methods.”  Shortly after we published our report, Quest Diagnostics demande (more…)


    5 Sep (MERCOLA) – Only weeks after pleading guilty to criminal charges that it promoted its anti-seizure drug Depakote for uses not approved by the U.S. Food and Drug Administration (FDA), Abbott Labs is being sued again for similar charges with a different drug.  The new (more…)


    6 Aug (NaturalNews) – The agencies and bureaucracies of our Leviathan government were created for our own good, we are constantly told, which is also the excuse we’re given anytime a group of lawmakers or citizens calls for any of them to be dismantled. That excuse may no longer hold water for the Food and Drug Administration which, (more…)


    17 Jul NEW YORK (Reuters) – Operators of a nationwide black market have illegally sold more than $100 million of expensive HIV medications and other drugs obtained from patients on the government-run Medicaid health insurance plan, U.S. authorities said on Tuesday.  Four dozen people were charged in documents unsealed in Manhattan federal court with running a scheme to repackage and sell medication bought on the street from recipients of Medicaid (more…)


    9Jul (NATURALNEWS) – Those of us who have long been describing the pharmaceutical industry as a “criminal racket” over the last few years have been wholly vindicated by recent news. Drug and vaccine manufacturer Merck was caught red-handed by two of its own scientists faking vaccine efficacy data by spiking blood samples with (more…)


    3 Jul (PROPUBLICA) – On Monday, the Department of Justice announced that drug company GlaxoSmithKline agreed to pay a $3 billion fine, the largest health care fraud fine in the history of the United States.  This fine is just the latest in a string of drug company penalties for improper promotion of drugs for “off-label,” or unapproved, uses. (more…)


    23 Mar (WASHINGTON) – Quest Diagnostics Incorporated (Quest) and Laboratory Corporation of America (LabCorp), the nation’s two largest laboratories, are currently involved in a multi-billion dollar Medicare scam, according to a lengthy and critical expose published in one of the medical laboratory industry’s leading trade publications. (more…)


    13 Nov | WASHINGTON –  Over the last year, the Obama administration has aggressively pushed a $433-million plan to buy an experimental smallpox drug, despite uncertainty over whether it is needed or will work.  Senior officials have taken unusual steps to secure the contra (more…)


    4 Nov | MIAMI Fl. – A federal judge slapped two Miami sisters convicted of Medicare fraud with 14-year prison sentences, chastising them for exporting their HIV-clinic scam to Detroit. (more…)


    NEW YORK – A Washington Heights doctor has been indicted for allegedly conspiring with some 150 “patients” to pretend they had HIV so he could bill Medicaid for $700,000 in “treatments” — even though they did not have the virus. (more…)


    13 May|ProPublica – A Pittsburgh hospital informed 141 patients earlier this year that they may have received unneeded angioplasties and stents, the tiny mesh tubes inserted to keep arteries open.  A Towson, Md., cardiologist faces a hearing on the fate of his medical license (more…)


    18 March|AP – LOS ANGELES — California has joined a whistleblower lawsuit that claims Bristol-Myers Squibb Co. bribed doctors to prescribe its drugs, costing insurers perhaps millions of dollars in the largest alleged health care fraud case ever handled by the state, Insurance (more…)


    24 Dec – Between 1991-2010, there were 165 criminal and/or civil settlements by major pharmaceutical companies comprising of $19.8 billion in penalties.  Before 2000, qui tam lawsuits accounted for only 9% of settlements with the government.  But from 2001-2010, they comprised 67% of the billions in payouts. (more…)


    Most States have laws protecting residents from outrageous hospital billing practices.  In California, we have AB 774.  Never heard of it?  You’re not alone.  The hospitals act like they’ve never heard of it, either.  Your local District Attorney may not know what it is.   I have known about it, but never used it until I broke my little toe.  (more…)


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