The potential scale of the alleged fraudulent billing operation is with little precedent in the history of Medicare, experts said.

The first angry calls to the Pretty in Pink Boutique began last August, confusing staff at the Franklin, Tenn., provider of wigs, mastectomy bras and other accessories for cancer patients. Medicare recipients from around the country claimed that a company called “Pretty in Pink” had charged their health insurance companies thousands of dollars for urinary catheters that they never ordered or received.

Flooded by dozens of complaints, the boutique launched a webpage in September to explain that its leaders were dumbfounded, too.

“We have reported the calls we are receiving to Medicare, and we have been working with callers to try to figure out exactly who is filing these claims,” Pretty in Pink’s website reads, asserting that another company by the same name was submitting the claims, and offering instructions on how to report the fraud to federal officials and insurance companies. “FRAUDULENT CLAIMS ARE BAD FOR ALL OF US, AND WE ARE ON YOUR SIDE.”

The complaints that ensnared the Tennessee cancer-care business are just one piece of an alleged fraud scheme whose scale has little precedent in the history of Medicare, experts said: an estimated $2 billion.

  • Binthinkin@kbin.social
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    5 months ago

    I remember maybe 15 years ago maybe 20, where 60 minutes had an interview about Medicare fraud, and one of the legislators said and I quote “we didn’t think anybody would take advantage of the Medicare system” when asked why so much fraud was happening.

    We haven’t been sending our best for a few decades now. So none of this bullshit from these dumb fucks is surprising.

    • mosiacmango
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      5 months ago

      No need to reach back in history for examples of politicians covering up medicare fraud.

      Rick scott, former governor of Florida and current US Senator from Florida, was CEO of a company that defrauded medicare for 1.7 billion dollars. Adjusted for inflation, his company’s massive medicare fraud is still larger than this example.

      • SteveCC@lemmy.world
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        5 months ago

        Thanks for including the link to politifact. Says 1.7 billion was the fine. And he was CEO. Wow!

        • tristan@aussie.zone
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          5 months ago

          $1.7B was the total amount they had to pay, but that included $500m to two whistleblowers and seperate payments for the fines and to Medicare

          I believe the actual fine amount was closer to $800m

          Still a lot of money