Showing posts with label fraud. Show all posts
Showing posts with label fraud. Show all posts

Friday, June 30, 2023

DME Fraud - Crime Doesn't Pay

According to the article:

  • "Tamara Yvonne Motley, 54, a.k.a. “Tamara Ogembe,” of Redondo Beach, Calif., was found guilty of nearly two dozen felonies for billing Medicare more than $24 million by submitting fraudulent claims for medically unnecessary durable medical equipment – mostly power wheelchairs and repairs, many of which were never performed." 
  • "Anthony Duane Bell, Sr., of El Cajon, Calif., has pleaded guilty to fraudulently receiving more than $21 million in Medicare payments. His son, Anthony Duane Bell, Jr., admitted making false statements to the FBI to conceal the fraudulent scheme." ... "The companies supplied durable medical equipment like knee, ankle, wrist, shoulder and back braces."

Read the full source article: California Fraud Watch:  Guilty Verdict In Redondo Beach - HME News

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Saturday, June 25, 2022

FRAUD ALERT: Scammers Diverting Drug Shipments from Distributors, Pharmacies

Updated August 14, 2026

You might also like:

Drug Supply Chain Integrity - FDA:
https://www.fda.gov/drugs/drug-safety-and-availability/drug-supply-chain-integrity

---  the original post follows below  ---

Here is the full text of an email alert sent by the California State Board of Pharmacy:

"Pharmacies, hospitals, and distributors are being warned about scammers using sophisticated techniques to obtain account numbers and other sensitive information and unlawfully divert quantities of pharmaceutical goods in transit. In some cases, scammers pretended to represent the state’s board of pharmacy or employees for a particular distributor or pharmacy.

The callers requested and obtained each pharmacy’s DEA number and account purchasing information for their principal distributor. The scammers then called each distributor – pretending to be the pharmacy – and ordered between $100,000 and $300,000 worth of products. Common products ordered included a variety of HIV medications (Descovy, Triumeq, Odefsey) and Xarelto, Otezla, and Eliquis.

Once the products were delivered, the scammers called the pharmacy – pretending to be the distributor – and advised the pharmacy the order was made in error. The scammers then arranged for a courier to pick up the diverted product.

The Healthcare Distribution Alliance Pharmaceutical Cargo Security Coalition (HDAPCSC) has released a report about this problem: “Fraud Alert: Distributor/Customer Product Ordering Scheme,” Version 2 (Updated June 2022). The report discusses methods being used to divert drug shipments and tips for protecting distributors and pharmacies.

The California State Board of Pharmacy urges drug distributors and pharmacists to read the report and learn how to spot fraudulent activity and prevent drug diversion."

###

Source: 

FRAUD ALERT: Scammers Diverting Drug Shipments from Distributors, Pharmacies (an email alert sent by the California State Board of Pharmacy on June 24, 2022)

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Thursday, September 17, 2020

How to avoid getting pulled into healthcare fraud - Medical Economics

According to the article:

"Many fraudulent schemes appear as legitimate business opportunities"

"Here are just some examples of the types of arrangements that should be subjected to a comprehensive regulatory analysis (many may be acceptable, but that conclusion should be reached only after legal review): ... 

Any contract with a DME manufacturer, wholesaler or distributor;

Any contract with a drug manufacturer, wholesaler or distributor;"

Read the full source article:  How to avoid getting pulled into healthcare fraud - Medical Economics

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California HMDR Exemptee and Designated Representative Online Training Courses



For Designated Representative license applicants  -  Training programs, courses, classes, seminars:

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For HMDR Exemptee license applicants  -  Training programs, courses, classes, seminars:

     California (earn a training completion certificate):

Wednesday, August 26, 2020

Cardinal Health sued over alleged fraudulently obtained contracts - SeekingAlpha. com

Updated September 27, 2025

Sadly, one of the original links broke.

---  the original post follows below  ---

According to this SeekingAlpha.com article,  Cardinal Health sued over alleged fraudulently obtained contracts:

"UPPI, a group of small businesses producing radiopharmaceuticals, has filed litigation in a Washington court against drug wholesaler Cardinal Health (NYSE:CAH) and two of its front companies and owners claiming it fraudulently obtained U.S. Veterans Administration (VA) contracts."


"The largest association of independent nuclear pharmacies in the U.S. is accusing Cardinal Health (CAH), a major pharmaceutical wholesaler, of using front companies to win government contracts that are usually set aside for small businesses owned by disabled military veterans."


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California Board of Pharmacy Designated Representative Training Courses | by SkillsPlus Intl Inc.  - for wholesalers, 3PL, and reverse distributors. Board Approved.  - - -  If you are applying for a California Designated Representative license, then you’re also going to need to include proof of required training (specifically, a training affidavit) in your license application packet. Earn a training affidavit by taking any one of our California Designated Representative training courses.


For Designated Representative license applicants  -  Training programs, courses, classes, seminars:

     California (earn a training affidavit):
     Florida:

For HMDR Exemptee license applicants  -  Training programs, courses, classes, seminars:

     California (earn a training completion certificate):

Tuesday, April 16, 2019

Dozens Charged in Massive DME Fraud Scheme Worth More than $1 Billion - HomeCareMag.com

Read the full article:  Dozens Charged in Massive DME Fraud Scheme Worth More than $1 Billion - HomeCareMag.com

"The defendants allegedly participated in health care fraud schemes involving more than $1.2 billion in loss. The Center for Medicare Services’ Center for Program Integrity also announced today that it took administrative action against 130 DME companies that had submitted more than $1.7 billion in claims, netting more than $900 million in payments."

Learn more about the fraud scheme:

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For home medical device retailers - California HMDR Exemptee - Online training certification course. Earns a completion certificate accepted by the California Department of Public Health (Food & Drug Branch).
For home medical device retailers - California HMDR Exemptee - Online training certification course. Earns a completion certificate accepted by the California Department of Public Health (Food & Drug Branch).

For Designated Representative license applicants  -  Training programs, courses, classes, seminars:

     California (earn a training affidavit):
     Florida:

For HMDR Exemptee license applicants  -  Training programs, courses, classes, seminars:

     California (earn a training completion certificate):

Friday, July 14, 2017

6 Misconceptions About Fraud | HomeCare Magazine

Misconceptions About Fraud

Read the full article: 6 Misconceptions About Fraud | HomeCare Magazine:

"There is a danger of complacency if you ignore these six common misconceptions about fraud and abuse in the HME industry. If you are alert, you should be better prepared to both create and enforce your company’s compliance policies, and avoid a fraud investigation."

'via Blog this'

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Training program for California HMDR Exemptee license applicants
CA HMDR Exemptee online internet-based training certification by SkillsPlus Intl Inc.
The Exemptee Institute

NEW! CA Designated Representative-3PL online training certification by SkillsPlus Intl Inc.- We'll send you the 3PL training affidavit upon successful course completion.
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The Designated Representative Institute

Thursday, July 13, 2017

National Health Care Fraud Takedown Results in Charges Against Over 412 Individuals Responsible for $1.3 Billion in Fraud Losses | OPA | Department of Justice

Read the full press release:  National Health Care Fraud Takedown Results in Charges Against Over 412 Individuals Responsible for $1.3 Billion in Fraud Losses | OPA | Department of Justice:

"Attorney General Jeff Sessions and Department of Health and Human Services (HHS) Secretary Tom Price, M.D., announced today the largest ever health care fraud enforcement action by the Medicare Fraud Strike Force, involving 412 charged defendants across 41 federal districts, including 115 doctors, nurses and other licensed medical professionals, for their alleged participation in health care fraud schemes involving approximately $1.3 billion in false billings."

'via Blog this'

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Training programs for HMDR Exemptee, and Designated Representative license applicants

CA HMDR Exemptee online internet-based training certification by SkillsPlus Intl Inc.
The Exemptee Institute

NEW! CA Designated Representative-3PL online training certification by SkillsPlus Intl Inc.- We'll send you the 3PL training affidavit upon successful course completion.
CA Designated Representative online web-based training certification by SkillsPlus Intl Inc. - Available around-the-clock 24 x 7
FL Certified Designated Representative (CDR) online exam prep course - Lots of practice exams - Practice makes perfect!
The Designated Representative Institute

Monday, January 23, 2017

Annual Report Of Fraud & Abuse Control Program - DME-related items

Updated January 24, 2022

The original link broke.

You might also be interested in:

---  the original post follows below  ---

Read the full report:
The Department of Health and Human Services And The Department of Justice Health Care Fraud and Abuse Control Program - Annual Report for Fiscal Year 2016 (PDF)

"The Health Insurance Portability and Accountability Act of 1996 (HIPAA) established a national Health Care Fraud and Abuse Control Program (HCFAC or the Program) under the joint direction of the Attorney General and the Secretary of the Department of Health and Human Services (HHS), acting through the Inspector General, designed to coordinate federal, state and local law enforcement activities with respect to health care fraud and abuse."

The full report contains a specific section for DME-related items.

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Training course for HMDR Exemptee license applicants

- - -

For Designated Representative license applicants  -  Training programs, courses, classes, seminars:

     California (earn a training affidavit):
     Florida:

For HMDR Exemptee license applicants  -  Training programs, courses, classes, seminars:

     California (earn a training completion certificate):

Friday, September 16, 2016

Medicaid fraud unit secures millions in recoveries | HME News

Updated June 11, 2026

You might also like:
    Medicaid Fraud Control Units - OIG:
    https://oig.hhs.gov/fraud/medicaid-fraud-control-units-mfcu/

--  the original post follows below  ---

Read the full article: Medicaid fraud unit secures millions in recoveries | HME News:

"Medicaid Fraud Control Units in 2015 obtained 1,553 criminal convictions and 731 civil settlements and judgments for provider fraud and patient abuse and neglect, according to a new report from the Office of Inspector General."

'via Blog this'

Read the report:
Medicaid Fraud Control Units - Fiscal Year 2015 Annual Report - U.S. Department of Health and Human Services, Office of Inspector General (PDF)

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For CA Home Medical Device Retailer (HMDR) Exemptee license applicants



For Designated Representative license applicants  -  Training programs, courses, classes, seminars:

     California (earn a training affidavit):
     Florida:

For HMDR Exemptee license applicants  -  Training programs, courses, classes, seminars:

     California (earn a training completion certificate):

Wednesday, June 1, 2016

Big Data Tool Saves CMS $1.5B by Preventing Medicare Fraud - RevCycle Intelligence

Updated February 2, 2026

The original link broke.

You can still read about the same topic here:

‘Big data’ effort saves $1.5B in Medicare fraud - Healthcare Dive:
https://www.healthcaredive.com/news/big-data-effort-saves-15b-in-medicare-fraud/419996/

--   the original post follows below  ---

Read the full article: Big Data Tool Saves CMS $1.5B by Preventing Medicare Fraud - RevCycle Intelligence:

"Using big data tools and predictive analytics, the Centers for Medicare and Medicaid Services (CMS) has saved approximately $1.5 billion by preventing Medicare fraud in the traditional fee-for-service program, according to the official CMS blog.

Since June 2011, CMS has employed the Fraud Prevention System, which is a predictive analytics tool that identifies fraudulent claims and illegitimate Medicare payments. The tool analyzes about 4.5 million Medicare pre-paid claims each day to pinpoint potential issues before providers are paid."

'via Blog this'

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Enroll now to take this California Exemptee Training Certification Course - for home medical device retailers (HMDR)
Enroll now to take this California Exemptee Training Certification Course - for home medical device retailers (HMDR)

For Designated Representative license applicants  -  Training programs, courses, classes, seminars:

     California (earn a training affidavit):
     Florida:

For HMDR Exemptee license applicants  -  Training programs, courses, classes, seminars:

     California (earn a training completion certificate):

Thursday, June 18, 2015

Authorities arrest 243 people in $712 million Medicare fraud | Reuters


Read the full article: UPDATE 2-Authorities arrest 243 people in $712 million Medicare fraud | Reuters:

"Many of the arrests were in Florida, long an epicenter of Medicare fraud. In Miami, 73 defendants were charged with offenses involving approximately $263 million in false billings.

Other cities involved include Houston, Dallas and McAllen, Texas; Los Angeles; Detroit; Tampa; Brooklyn, New York; and New Orleans."

'via Blog this'

Return Home:  The Designated Representative and Exemptee Blog

CA HMDR Exemptee online internet-based training certification by SkillsPlus Intl Inc.
The Exemptee Institute

NEW! CA Designated Representative-3PL online training certification by SkillsPlus Intl Inc.- We'll send you the 3PL training affidavit upon successful course completion.
CA Designated Representative online web-based training certification by SkillsPlus Intl Inc. - Available around-the-clock 24 x 7
FL Certified Designated Representative (CDR) online exam prep course - Lots of practice exams - Practice makes perfect!
The Designated Representative Institute

Thursday, March 27, 2014

Pharmacy fraud spreads through Florida, cheating Medicare - Sun Sentinel

Pharmacy fraud spreads through Florida, cheating Medicare - Sun Sentinel:

"In South Florida, the Part D investigative caseload has almost quadrupled over the past five years, Martens told the committee.

In one such case, a Miami Lakes man, his wife and mother were accused last year of dealing in pharmaceuticals that were diverted from Medicare, including more than $26 million of drugs sold to retail pharmacies in 18 states."

'via Blog this'

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FL Certified Designated Representative - CDR Exam Prep Course


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For Designated Representative license applicants  -  Training programs, courses, classes, seminars:

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For HMDR Exemptee license applicants  -  Training programs, courses, classes, seminars:

     California (earn a training completion certificate):

Tuesday, March 11, 2014

Thursday, September 19, 2013

Alert - Individuals Posing as Delivery Driver or Cardinal Health Employees - CSHP

Updated March 2, 2022

Unfortunately, the linked alert is no longer available.

---  the original post follows below  ---

Alert - Individuals Posing as Delivery Driver or Cardinal Health Employees - California Society of Health-System Pharmacists:

"In recent days, Cardinal Health has been notified by a number of customers in the Los Angeles area that an individual has presented himself as a Cardinal Health employee. The individual has attempted to enter pharmacies by announcing that a new Cardinal Health policy has been put in place that will provide our customers a refrigerator for the storage of cold chain packaging that needs to be returned. On one known occasion, the individual was allowed into the controlled area of a pharmacy to study a possible location for the refrigerator."

Return Home:  The Designated Representative and Exemptee Blog

- - -

For Designated Representative license applicants  -  Training programs, courses, classes, seminars:

     California (earn a training affidavit):
     Florida:

For HMDR Exemptee license applicants  -  Training programs, courses, classes, seminars:

     California (earn a training completion certificate):

Wednesday, September 11, 2013

Former Owner of LA Medical Equipment Supply Co Pleads Guilty to $2.6 Million Medicare Fraud


Former Owner of Los Angeles Medical Equipment Supply Company Pleads Guilty to $2.6 Million Medicare Fraud Scheme:

"From approximately June 7, 2006, through Sept. 28, 2009, Afolabi, through Emmanuel, submitted approximately $2,668,384 in fraudulent claims to Medicare for power wheelchairs and related services, and Medicare paid Emmanuel approximately $1,490,532 on those claims."


Return Home:  The Designated Representative and Exemptee Blog


For Designated Representative license applicants  -  Training programs, courses, classes, seminars:

     California (earn a training affidavit):
     Florida:

For HMDR Exemptee license applicants  -  Training programs, courses, classes, seminars:

     California (earn a training completion certificate):

Friday, January 18, 2013

FraudBlawg - Most Viewed 2012 Posts

FraudBlawg 2012 in review « FraudBlawg:

"These are the posts that got the most views in 2012:
  1. Physical Therapy Fraud
  2. Former Inspector General Agent: TeenScreen Is “Dragnet for Pharmaceutical Industry”
  3. DME Fraud
  4. SouthernCare Hospice Pays Near $25 Million in Record Medicare Hospice Fraud Settlement
  5. Skilled Nursing Fraud"
'via Blog this'

Return Home:  The Designated Representative and Exemptee Blog





- - -

For Designated Representative license applicants  -  Training programs, courses, classes, seminars:

     California (earn a training affidavit):
     Florida:

For HMDR Exemptee license applicants  -  Training programs, courses, classes, seminars:

     California (earn a training completion certificate):

Monday, November 21, 2011

Accused of Medicare Fraud . . .

You Gotta Know When to Hold ‘Em and Know When to Fold ‘Em:  'via Blog this'
"Let me say it again: only 3% of all the defendants accused of committing a crime in federal court walk out Scot free. I would venture to say that the statistics for those charged with Medicare fraud are even more lopsided in favor of the government and will report on that once my analysis is completed."
Uh-oh!  Best to avoid committing Medicare fraud, than trying to prove innocence.

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CA HMDR Exemptee online CBT training certification by SkillsPlus Intl Inc.
CA Designated Representative online CBT training certification by SkillsPlus Intl Inc.
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Monday, November 7, 2011

Government Money Recovered From Medicaid Fraud Tripled

US-DeptOfHHS-SealImage via WikipediaGovernment triples money recovered from Medicaid scams - ABC News:

The Department of Health and Human Services show "the federal government has more than tripled the amount of money it has recovered through efforts to stop Medicaid fraud in the past six years."

Return Home:  The Designated Representative and Exemptee Blog

- - -

For Designated Representative license applicants  -  Training programs, courses, classes, seminars:

     California (earn a training affidavit):
     Florida:

For HMDR Exemptee license applicants  -  Training programs, courses, classes, seminars:

     California (earn a training completion certificate):



Tuesday, September 27, 2011

Senior Medicare Patrols help fight fraud

Wheelchair seating in a theater (i.e. giving a...Image via Wikipedia
Updated Mar 10, 2023

The original link broke.

You might also be interested in:

---  the original post follows below  ---

I love this!

Senior Medicare Patrols help fight fraud – USATODAY.com:  'via Blog this'

Government officials have doubled the funding for senior-citizen volunteers who do everything from explaining benefits to sending tips to investigators. One tip recently led to a piece of record-breaking Medicare fraud takedown.

The Senior Medicare Patrols (SMPs) target fraud-rich regions, including Florida, California, New York and Michigan.

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Friday, July 15, 2011

Feds and Medicare To Head Off Medical Scooter Fraud

Updated August 2, 2026

The original link broke.

You can still read about the same topic here:

---  the original post follows below  ---

This caught my eye, so I'm sharing it with all of you, a USA Today article, Feds, Medicare crack down on medical scooter fraud.

In a nutshell, here's what's coming, a crack-down on medical-equipment providers who either overcharge Medicare for motorized wheelchairs or obtain them for people who don't need them.

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For Designated Representative license applicants  -  Training programs, courses, classes, seminars:

     California (earn a training affidavit):
     Florida:

For HMDR Exemptee license applicants  -  Training programs, courses, classes, seminars:

     California (earn a training completion certificate):

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