21 st century criminals out smart the system once again with technology ?

Counterfeit prescription drug ring in Baton Rouge area results in multiple arrests http://www.nola.com/crime/baton-rouge/index.ssf/2015/05/counterfeit_prescription_drug.html Ten Baton Rouge area residents who were a part of a criminal organization have been accused of fraudulently obtaining and selling prescription drugs throughout the city and surrounding area, Baton Rouge Police Cpl. Don Coppola Jr. said Wednesday evening. A Tactical Diversion […]

Justice — PAM BONDI STYLE ?

Health-care fraud: Little guys get jail; big guys get deals http://www.orlandosentinel.com/opinion/os-hospital-medicaid-fraud-scott-maxwell-20150523-column.html In March, Attorney General Pam Bondi announced she had nailed someone for Medicaid fraud. The culprit was a 49-year-old home-health worker from dirt-poor Gadsden County, accused of bilking the state out of $13,000. For her crime, Melissa Letica Simmons was ordered to spend six […]

More .. they do the crime.. they pay a fine.. and no one does the time

Mississippi hospital whistleblower gets $3.5M in settlement http://www.wtva.com/content/news/mississippi/story/Mississippi-hospital-whistleblower-gets-3-5M-in/Z92zQL-2K0OXCRzRQCJq2g.cspx#.VWFJt2ECt7g.blogger JACKSON, Miss. (AP) — A former employee of a Mississippi hospital is getting almost $3.5 million as part of a string of settlements where 18 hospitals in seven states have agreed to pay $20.4 million over allegations they broke federal law by receiving Medicare reimbursements for psychiatric […]

Chronic pain treatment Guidelines … the precursor to mandates ?

Massachusetts Medical Society Opioid Therapy and Physician Communication Guidelines http://www.massmed.org/Patient-Care/Health-Topics/Massachusetts-Medical-Society-Opioid-Therapy-and-Physician-Communication-Guidelines/#.VWKDsEaui1w Position on Guidelines The Massachusetts Medical Society supports the position that physicians must use their best clinical judgment in the treatment of all patients. Guidelines exist in many areas to help physicians achieve the best possible outcomes for patients.  We recognize that this document creates […]

We don’t need another F-ing LAW !

There should be a law ! I wrote the above post just a few weeks back… I received a email from a chronic pain pt from KY.. that is being cut off medication that the pt has been taking for some 10 yrs..  It would seem that the “all knowing bureaucrats” in Frankfort have passed […]

whistle blower claims 20%+ of NY medicaid recipients not legally eligible for benefits

Fired auditors say Medicaid errors remain issue at New York Health Department http://www.timesunion.com/news/article/Fired-auditors-say-Medicaid-errors-remain-issue-6283448.php The state terminated its contract with the Research Foundation in 2010, a year after the U.S. Attorneys office in Albany launched its investigation of the workers’ allegations. Five months ago, the civil claim filed by Monks and her colleagues ended with the […]