Two former billing supervisors have accused a Florida eye care clinic of a massive Medicare fraud scheme. William Lovell and Rochelle Mendez say the clinic billed Medicare for services never rendered. They say the clinic also overcharged for other services. According to the lawsuit, the clinic is owned by eight physicians. It employs 12 ophthalmologists […]
North Carolina Medical Biller Gets 9 Years for Medicaid Fraud!
A Greenville, North Carolina medical biller was sentenced to 108 months in federal prison after pleading guilty to Medicaid fraud and identity theft charges. Donnie Lee Phillips II will be eligible for early release after 7 years and 8 months. U.S. Senior District Court Judge James Fox also ordered Phillips to serve an additional 3 […]
Platinum Partners Hedge Fund Ponzi – Where Are the Banks?
Platinum Partners hedge fund is beginning to look like a Ponzi scheme. A very large Ponzi scheme. The New York Times says it could be one of the largest since Bernie Madoff. As much as $1 billion may be missing. On the heels of so many losses, the FBI moved in this week and arrested […]
INVESTIGATION: Clayton Homes, Vanderbilt Mortgage, 21st Mortgage
Clayton Homes… by far the biggest player in the mobile home industry. Along with Vanderbilt Mortgage and 21st Mortgage and 25+ other companies, the Clayton Home empire is huge. And it just may be the most predatory mobile home seller and lender in the nation. Clayton Homes was purchased by billionaire Warren Buffett’s Berkshire Hathaway […]
Kickbacks, RICO and the Pharmaceutical Industry (Insys Post)
Last week the Justice Department indicted six executives of Insys Therapeutics, a publicly traded pharmaceutical company. All are charged with criminal violations of the federal RICO statute (Racketeer Influenced and Corrupt Organizations Act). That law carries a sentence of up to 20 years in prison. What did these folks do that might warrant prison? Prosecutors […]
Does Universal Health Services Kidnap Patients?
Universal Health Services is the largest psychiatric services provider in the nation. Last year the company treated approximately 450,000 patients. With 200 facilities, the company serves patients in all but a handful of states. Despite its huge size (the company has 72,000 employees), most people have never heard of the name Universal Health Services. That […]
Cyberhacking Update – IBM Says Banks Won’t Discuss Details
It’s hard to fight an enemy you can’t see. Cyberhacking is often carried out by computer geniuses operating halfway across the world. They operate in the dark net and collaborate in chatrooms. Often they compromise other people’s computers so that if a hacking attempt is detected, it leads authorities to a dead end. Sometimes they […]
Nuclear Reactors, Imported Steel and Whistleblowers
U.S. regulations require projects built with federal dollars to be built with American made steel. Every piece of steel made in the U.S. or imported here comes with a certification. Not only does that document indicate where the steel was made or “rolled,” it describes the characteristics of the metal. When we think of steel, […]
Is Outsourcing a Dirty Word for Mortgage Underwriters?
Is outsourcing in the mortgage industry a dirty word? A Houston jury thought so in our Allied Home Mortgage case. Although we and federal prosecutors accused Allied and its former CEO Jim Hodge of many bad acts, some of the alleged wrongdoing included outsourcing quality control work to the Virgin Islands. To be clear, outsourcing […]
Radiology Centers & Illegal Practices – Whistleblower Award Post
In recent years we have encountered many stand alone radiology centers and clinics. Often these facilities are not connected with a healthcare group or hospital. Some are not even owned by a doctor. The proliferation of these centers has caused cutthroat competition in many areas of the country. Sometimes when a healthcare company can’t make […]
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