Drug Dealers in Lab Coats
Late last month, there was a huge national drug raid that cracked down on healthcare fraud. This enforcement activity involved more than 600 defendants including 10 Kentucky doctors. The DEA called these targets “drug dealers in lab coats.” The schemes included the following provider activities:
- Open a fake pharmacy with a “front man” signing the leases and opening the bank account, and then pay the “front man” to leave the country so you can start the fraudulent billings;
- Open a “virtual medical office” from out of state, and begin invoicing for services never rendered;
- Steal physician and patient identities, and begin reporting fraudulent claims with payments to virtual PO Boxes;
- Hire commission-based runners/marketers, and start providing transportation for claimants/patients who will show up for unnecessary treatment;
- Put “professional” claimants/patients on a side payroll, whose “job” is to get unneeded exams and diagnostics;
- Alter patient medical charts to cover up fraudulent activity;
- Inappropriate dispensing of fentanyl which happens to be 100 times more powerful than heroin.
The Courier-Journal article quotes a local advocate for real people fighting real addictions, who says, “Charges against rogue doctors and others are long overdue.”
If you don’t know your providers, know who recruited them.
Call us. We can do better.
Posted in OMCA