Showing posts with label medicaid. Show all posts
Showing posts with label medicaid. Show all posts

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."

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Tuesday, July 5, 2011

Phantom Pharmacy Scams Exploding

Updated February 7, 2026

The original link broke.

You might also be interested in this book:

PHANTOM BILLING, FAKE PRESCRIPTIONS, AND THE HIGH COST OF MEDICINE
Health Care Fraud and What to Do about It:
https://library.oapen.org/bitstream/handle/20.500.12657/62116/9780801460807.pdf

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Federal officials are watching as "a new fraud is spreading through the health care system. Criminal enterprises posing as pharmacies are billing Medicare, Medicaid and private insurers for fake prescriptions and bilking health care out of millions of dollars," reports this CNN Money article, Phantom pharmacy - A growing health care fraud.

You're probably reading this because you have an interest in CA or FL. The article also says, "scammers typically target Florida and California because they have large Medicare and Medicaid populations."

Return Home:  The Designated Representative and Exemptee Blog


Tuesday, August 18, 2009

Alert - Drug Wholesale Conviction - Don't be next

Updated May 19, 2022

The original link broke.

You can still read about the topic here:

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According to this US Attorney's Office press release, MIAMI PRESCRIPTION DRUG WHOLESALER CONVICTED:
A significant portion of the Serostim that Segredo distributed through these two companies originated from California-based AIDS patients who sold their Serostim supplies secured from the Medi-Cal Medicaid program

This drives home the point that it's essential to avoid non-standard and fraudulent distribution methods. 

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, June 23, 2009

Florida Cracks Down On Miami DME Fraud

Updated May 4, 2021

The original link broke.

You can still read about the topic here:

---  the original post follows below  ---

The Miami Herald reports, Florida probes Miami-area medical-equipment kickbacks - Medicaid investigators are targeting fraud in Miami-Dade County, zeroing in on questionable billing for medical equipment. They report investigations of providers suspected of bilking the state healthcare program for low-income people by billing for oxygen concentrators that are not medically needed. Investigators also visited more than 120 Medicaid patients, some of whom may have received kickbacks from medical equipment suppliers for ordering their products. Of note, investigators indicate that unnecessary billing for oxygen concentrators has been a particular problem over the past five years. According to Holly Benson, secretary for the Florida Agency for Health Care Administration, said fraudulent billing for oxygen concentrators is the latest scam ailing Medicaid, which spent $90 million on medical equipment in fiscal 2007-08. About 25 percent of that spending, funded by state and federal taxes, was in Miami-Dade. In summary, it's especially important to have things in order if you're near Miami and billing for oxygen concentrators. 

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