More than four years ago, Tennessee nurse RaDonda Vaught typed two letters into a hospital’s computerized medication cabinet, selected the wrong...
FWA Articles
Is My Drug Copay Coupon a Form of Charity — Or a Bribe?
Before my insurer had even preapproved coverage of the new injectable medicine my doctor had prescribed, I got a voicemail from its manufacturer...
Stop Being a Crook in your Old Age
Earlier this week, I wrote a LinkedIn post where I mentioned that the age of the healthcare fraud defendants involved in schemes where their...
A Travel Nurse Leaves Fears of Hospital Drug Tampering Across Three States
Health officials in at least three states are investigating a travel nurse suspected of tampering with and potentially contaminating vials and...
Why Nurses Are Raging and Quitting After the RaDonda Vaught Verdict
Emma Moore felt cornered. At a community health clinic in Portland, Oregon, the 29-year-old nurse practitioner said...
Gaslighting: Medically Unnecessary Services
For those that are movie buffs, you know the term gaslighting. For those that are not, it comes from a 1944 film where the antagonist creates an...
Listen: An Unsettling Investigation Into the Closure of a Chain of Pain Clinics
Last spring, Lags Medical Centers, a sprawling chain of pain clinics serving more than 20,000 patients in California, abruptly shuttered amid a...
Investigative Competence
I spent about 25 years in federal law enforcement, and most of that time was as a Senior Special Agent at HHS-OIG. I loved working there,...
Federal Investigation Into Spine Surgeries Uses Mob Laws to Target Health Care Fraud
A Texas consulting company that arranges spine surgery and other medical care for people injured in car crashes has come under scrutiny in a...
After ‘Truly Appalling’ Death Toll in Nursing Homes, California Rethinks Their Funding
SACRAMENTO, Calif. — About 1 in 8 Californians who have died of covid lived in a nursing home. They were among the state’s most frail...
OIG Files: Health Plans, Cherry Picking & Lemon Dropping
When I was first hired as an OIG Agent, I was told by numerous people that fraud in the Medicare Advantage (MA) world was difficult to commit, and...
Fraud Power Struggle: Detecting vs Eliminating vs Preventing
What is most important: identify, eliminate, recover or (PLOT TWIST) prevent? Coming off of a strong week of meetings with my clients and...
12,200+
Avid Subscribers
Sign up for our weekly newsletter and receive updates on Healthcare, FWA, Healthcare Law, Advize and more.