Medicare Fraud and Scams

Feds Tackle Fraud: 36 Arrested in Medicare Scams Worth $251M

07/20/2010
By Mona Lisa Vito
Feds Tackle Fraud: 36 Arrested in Medicare Scams Worth $251M

This past Friday July 16 at a press conference in Miami Attorney General Eric Holder and Secretary of Health and Human Services Kathleen Sebelius announced that over 360 federal agents had raided the homes and offices of Medicare fraudsters accused of stealing over $251 million. Authorities say most of the thirty-six individuals arrested Friday...
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Fighting Medicare Fraud

07/15/2010
By Lucy Dylan
Fighting Medicare Fraud

Every year, both seniors and the government lose quality health care and billions of dollars to corrupt providers. Medicare fraud isn’t new, but as the new health care reforms have passed, fraud has been in the spotlight. Medicare fraud affects everyone, from the government to seniors to taxpayers.
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Closing the Doughnut Hole

06/24/2010
By Lucy Dylan
Closing the Doughnut Hole

The doughnut hole coverage gap forces seniors to pay out of pocket once their drug costs hit a certain amount. Recent health care reforms have focused on the doughnut hall as a way to cut costs. Here are the top 6 things to know about the doughnut hole for seniors, their relatives, and their...
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Crackdown on Medicare Fraud

02/24/2010
By Bill Stapleton

Medicare fraud is among the most common types of health care fraud. The Obama administration has requested a funding increase in an effort to cut down the Medicare fraud. These efforts have been successful in the Miami area, which has the highest rates of both Medicare fraud and prosecutions.
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Senator Baucus and CMS Slam Humana

09/23/2009
By Bill Stapleton

In light of the recent letters sent out to their Medicare Advantage beneficiaries, insurance company Humana now faces the possibility of heavy fines and may even be kicked out of the Medicare Advantage market by federal healthcare agency, CMS. This seems like a pretty harsh penalty for a one page letter informing seniors that...
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Madoff Victims May Be Able to Get Part B Premiums Reduced

07/13/2009
By Annie Finneran

Many people were victims of Bernard Madoff’s fraud and have lost a considerable amount of income due to this scheme. Originally, Madoff victims were not included in the above categories of life changing events. As of June 9, Social Security determined that "if someone had a reduction of income as the result of criminal...
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$100 Million of Medicare Fraud Found in Miami

06/24/2009
By Sophie Callahan

Eight defendants were recently charged in an elaborate scam that involved billing Medicare for fake HIV and cancer infusion drugs. The fraud spanned the five states of Florida, North Carolina, South Carolina, Georgia and Louisiana and used 29 fake storefronts in order to attempt to steal $100 million from Medicare and Medicare Advantage. Two...
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Medicare: A Senior Scam

05/22/2009
By Sophie Callahan

Some people claim that the federal government is ripping off young people by making them pay for Medicare used by senior citizens. Retirees can benefit from the cheap health care whether they are dirt poor or filthy rich and it is young, working people who pay to give seniors those health benefits. Spending such...
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Accent Gives Away Fugitive

05/21/2009
By Annie Finneran

Alcides Garcia’s accent gave him away in the Canary Islands in February. The Cuban born fugitive was wanted for Medicare fraud in Miami. After visiting a shipping company to get his belongings sent to the island from Miami, the owner was suspicious of his accent because he has said he was Mexican but had...
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Doctor pleads guilty to Medicare fraud again

05/11/2009
By Annie Finneran

Miami-Dade doctor Carmen Lourdes del Cuerto pleaded guilty again last week to participating in a Medicare fraud scheme with four other doctors between 2003 and 2006. Del Cuerto and the four other doctors were accused of prescribing approximately $19.5 million in drugs for HIV patients who did not need or receive the therapy. The...
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