According to A Place For Mom, more than 1.3 million adults live in nursing homes in the United States. Placing a loved one in a nursing home is a decision made with trust and the hope that they will receive the best care. However, sometimes nursing homes cut corners,...
Health Care Crimes
What constitutes health care fraud?
Health care fraud has serious consequences for both the health care system and the public. It includes dishonest actions meant to make money in an unfair way within the health care system. According to CNBC, health care fraud is a $100 billion industry. It covers...
The financial burden created by healthcare fraud
Healthcare costs number well into the trillions when considering the countless billions of dollars in insurance claims. Most are valid, while others are fraudulent. Those expenses, while significantly smaller, still have significant costs, both financially and...
18 arrested in connection with Medicaid fraud scheme
During an Oct. 10 press conference, Florida Attorney General Ashley Moody announced that law enforcement agencies from two states had arrested 18 people in connection with a Medicaid fraud scheme. Deputies from the Clay County and Jacksonville Sheriff's Offices in...
Florida nurse practitioner convicted of Medicare fraud
A Florida nurse practitioner has been convicted on a raft of charges connected to a scheme that prosecutors say defrauded Medicare out of approximately $200 million. On Sept. 20, a federal jury returned guilty verdicts on eight charges including four counts of health...
Government agencies are cracking down on hospice fraud
Medicare and Medicaid costs in Florida and around the country have risen sharply in recent years, and leading officials at the U.S. Department of Justice believe that fraudulent hospice claims are largely responsible. Hospice fraud is now one of the DOJ’s top...
Medicare fraud in the home health care sector
Home health agencies perform medical and nursing services in a patient’s residence, and the market sector they occupy has experienced rapid growth in recent years. Home health spending more than doubled between 2002 and 2009, but most of that spending was concentrated...
How investments or recruiters expose doctors to fraud charges
Physicians in Florida may receive offers to invest in healthcare businesses related to their practices. Other opportunities take the form of recruitment offers from hospitals. Hospitals can provide incentives to motivate doctors to work at or associate with their...
3 common types of life insurance fraud
According to studies, life insurance fraud costs insurers more than $300 billion each year. Unfortunately for insurance policyholders in Florida, a large portion of that cost gets passed onto them through higher premiums. There are three types of life insurance fraud...
Insurance fraud in Florida
Florida homeowners pay out about 300% more than average for home insurance. They also pay approximately 30% more for motor vehicle insurance than the national average. There are several laws in the Sunshine State to protect insurance payers. Types of Florida insurance...