Subject: Largest Health Care Fraud Bust In U.S. History

Largest Health Care Fraud Bust In U.S. History

July 11th, 2025 at 6:23 am EDT

     July 11, 2025 It’s been said that people read published lists of disciplined fellow-professionals out of a sense of schadenfreude, the pleasure derived from another’s misfortune. But in the case of the 3 ...

Although dollars are a lubricant, the real issue is freedom or optionality.

July 4th, 2025 at 6:12 am EDT

     July 4, 2025 The notion of “fuck you” money. The fact that you have enough money that you can brush off someone’s demand or request that, prior to attaining such status, was something internalized via ...

Managing by Meaningless Measures?

June 27th, 2025 at 6:52 am EDT

     June 27, 2025 Don’t get your medical group or healthcare business lost in big data. Bureaucratic sorts are drawn to numbers because numbers can be gathered, processed and manipulated, all with the goal of ...

Will Oregon Law Grow into a “Nationwide Injunction” Against PE in Medical Practice?

June 20th, 2025 at 6:54 am EDT

     June 20, 2025 Dear Friend, Will Oregon’s new law privately pitched as a ban on private equity in medicine, and legally structured as support for its already existing prohibition on the corporate practice o ...

Bees Teach Doctors About Strategy

June 13th, 2025 at 6:02 am EDT

     June 13, 2025 Dear Friend, Considering honey bees have been on earth for between 40 to 150 million years, it pays to consider their hive strategy for success, especially because it maps perfectly onto medica ...

Do You Understand the “Doctor Chasing” Scam?

June 6th, 2025 at 6:17 am EDT

     June 6, 2025 Dear Friend, Here’s a crash course on “doctor chasing”. If you don’t understand the scam, it increases the odds that you’ll fall victim to it. Of course, falling victim to it means tha ...

You don’t want to go to jail over noncompliance

May 23rd, 2025 at 6:13 am EDT

     May 23, 2025 Dear Friend, In a May 15, 2025, Memo, Matthew R. Galeotti, the Head of the U.S. Department of Justice’s Criminal Division, announced their white collar prosecutorial priorities. In the number ...

Second Biggest Mistake Medical Group Leaders Make

May 16th, 2025 at 6:04 am EDT

     May 16, 2025  Dear Friend, Someone at a conference asked me what’s the biggest mistake medical group leaders make. That’s easy, I told him, it’s not engaging me to represent them. He told me to g ...

The Biggest Mistake in Exclusive Contacting

May 9th, 2025 at 5:56 am EDT

     May 9, 2025  Dear Friend, Here’s the number 1 mistake, the Achilles’ heel of the negotiations between a medical group, for example, an anesthesiology group or a radiology group, and a hospital in c ...

Turning Medical Group Collaboration into Fraud

May 2nd, 2025 at 6:37 am EDT

     May 2, 2025  Dear Friend, Did they intend to defraud the carrier? That was the subject of Monday's blog post, How Medical Group Collaboration Creeps into Fraud—Pass-Through Billing. You can follow t ...