May 18, 2026
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DME Fraud Zombies

DME Fraud: The Undead Zombie of Healthcare Fraud

Durable Medical Equipment (DME) consists of things like knee braces, back braces, glucose monitors, wheelchairs, and any other medical equipment prescribed for a patient.  For providers, prescribing and distributing DME is not a one-time transaction, they are healthpayer billing streams. Unlike other healthcare services provided, such as fee-for-service, DME offers providers high reimbursement rates, repeatable […]

Telehealth fraud

How Telehealth Became the Perfect Vehicle for Fraud

Until telehealth, there may never have been a better example of the fraud axiom that everything we do to make it easier for the consumer also makes it easier for the crooks.  Telehealth was supposed to be the key to unlock access to health care, replacing waiting rooms with video calls and having prescriptions written […]

Healthcare Fraud Supply Chain

‘The Fraud Supply Chain’: How Healthcare Fraud Is Industrialized

Healthcare fraud has evolved beyond the image of lone individuals falsifying claims or inventing phantom treatments into full-on fraud factories with supply chains. Today’s schemes resemble sophisticated, multi-faceted organized businesses: specialized teams handle lead generation, patient recruitment, shell clinics, complicit providers, billing aggregation, and money laundering. In 2025 alone, a coordinated National Health Care Fraud […]

Medicare fraud

Why Healthcare Still Accepts Fraud Levels Other Industries Wouldn’t

Healthcare fraud losses remain orders of magnitude higher than what financial services would tolerate for comparable transaction volumes. In banking, sustained fraud measured in basis points triggers executive escalation, regulatory scrutiny, and rapid control changes. In healthcare, materially larger losses have historically been treated as an unfortunate but expected cost of doing business. In this […]