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Medical Fraud Exposed

Medical Fraud Exposed

"Unmasking Medical Fraud: Your Rights, Your Records"

 
 
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Tag Archives: Medicare

Telemedicine Fraud: Telemedicine Scheme Uncovered

Medical Fraud Exposed Posted on August 27, 2025 by AdminAugust 27, 2025  

🚨 Overview
Federal prosecutors have charged Alabama physician Tommie Robinson, 43, in connection with a sweeping Medicare fraud telemedicine scheme that generated over $6 million in false claims.

First, the fraudulent documentation sparked a telemedicine scheme, which in turn led to over $6 million in Medicare fraud claims.  Additionally, these claims involved equipment and tests that were neither medically necessary nor properly authorized.

🧬 Scheme Details
Between December 2018 and March 2021, Robinson allegedly collaborated with telemedicine companies to authorize medical orders for durable medical equipment (DME) and cancer-related genetic testing—without ever examining or speaking to the patients.  Telemarketing scripts targeting Medicare recipients actively pre-filled these orders.

  • No direct patient contact
  • Orders based on telemarketing calls
  • Claims submitted for medically unnecessary services
  • Kickbacks involved in the referral process

đź’¸ Financial Impact
The fraudulent documentation actively caused over $6 million in Medicare fraud telemedicine scheme claims for unnecessary and improperly authorized equipment and tests. The scheme exploited vulnerable patients and undermined the integrity of telehealth services.

⚖️ Legal Consequences
Robinson faces up to 10 years in prison, three years of supervised release, and fines up to $250,000 or double the financial loss.  The judge will determine the sentencing based on federal guidelines and their discretion.

👥 Agencies Involved
The case was announced by U.S. Attorney Leah B. Foley and officials from HHS-OIG, FBI Boston, USPS Inspection Service, Department of Labor, and the Defense Criminal Investigation Service. Prosecutors include Assistant U.S. Attorney Howard Locker and attorneys from the Affirmative Civil Enforcement Unit.

📌 Note
No court has yet proven any allegations. The law presumes Robinson innocent until a court finds him guilty beyond a reasonable doubt.

Posted in False Claims, Medicare, Upcoding | Tagged False Claims, Medicare, Medicare Fraud | Leave a reply

Senior Medicare Patrol (SMP) – Get help in your State

Medical Fraud Exposed

If You’d Like Assistance Reporting Suspected Fraud, the Senior Medicare Patrol (SMP) is Here to Help. Call or Locate Your Local SMP Online. By Phone 1-877-808-2468 Online Senior Medicare Patrol Website Source

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Posted in Medicare | Tagged Medicare

False Claims Act Settlements and Judgments Exceed $2.68 Billion

Medical Fraud Exposed

Wow! The False Claims Act exceeded $2.68 billion in settlements and judgments in 2023. Settlements and judgments under the False Claims Act exceeded $2.68 billion in the fiscal year ending Sept. 30, 2023, Acting Associate Attorney General Benjamin C. Mizer and Civil Division Principal Deputy Assistant Attorney General Brian M. Boynton announced today. The government and whistleblowers were party to 543 settlements and judgments, the highest number of settlements and judgments in a single year. Recoveries since 1986, when Congress substantially strengthened the civil False Claims Act, now total more than $75 billion. “Protecting taxpayer dollars from fraud and abuse is … Read More

Posted in False Claims, Kickbacks | Tagged False Claims, Fraud, KickBacks, Medicare

Rise Up and Take Charge of Your Health!

Medical fraud affects everyone. It can lead to wrong diagnoses, unnecessary treatments, and puts patient care at risk.
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Read Next

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Comments

  1. Admin on Short Dr. Visit – Is this Cheating?
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Know Your Rights

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Understanding your rights is the first step to protecting yourself from medical fraud. Knowledge is power, and being informed can help you make educated decisions about your healthcare.

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"Unmasking Medical Fraud: Your Rights, Your Records"

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Welcome: Medical Fraud Exposed

This blog exists to shine a light on the dark underbelly of medical fraud, a pervasive issue fueled by greed that undermines trust in healthcare. While many physicians are dedicated and ethical, others prioritize profit over patient care. Warning signs abound: a doctor lamenting that avoiding spinal injections cuts into their “bread and butter,” or medical notes filled with inaccuracies, documenting procedures or discussions that never happened—sometimes so off-base they seem written for another patient.

Our mission is to empower you to recognize these red flags, demand accountability, and protect yourself. Always review your visit notes, correct errors, and report suspected fraud. Through real stories, insights, and resources, MEDICAL FRAUD EXPOSED is here to expose deceit, advocate for transparency, and champion the integrity of healthcare. Join us in uncovering the truth. Feel free to Comment.



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