Investigators talk about “moneygrubbers” in elderly Medicare fraud

Aug 4, 2021, 1:18 PM | Updated: Aug 5, 2021, 10:21 am

Medicare Fraud...

SALT LAKE CITY — The Federal Government is calling out scammers for Medicare fraud and taking judicial action against them.

The Department of Justice says two nurse practitioners in Montana were just sentenced this week for conspiring to defraud Medicare out of millions of dollars.

Former US Attorney for Utah, John Huber, told KSL’s Dave and Dujanovic Show these schemes include calling up older people and convincing them they need a certain product, like a knee brace, and that Medicare will pay for it.

“What ends up is a brace that you could pick up at Big 5 for $30 is now being billed to Medicare for hundreds of dollars. Grandma didn’t do anything wrong, the telemarketers did,” he explained.

“They get a nurse practitioner to sign off on it, without ever reviewing grandma’s medical records, and what do you know, the taxpayers just paid for a $300 brace. Times that by 7600, and you are up into a lot of money.”

He says these scammers are moneygrubbers. And it’s making the cost of healthcare go up for everyone else.

“Then it becomes more attractive to more scammers and it is a perpetuating cycle of fraud,” said Huber.

The US medical system is so complex, that hospitals and insurance companies employ armies of people checking codes and billing. But this isn’t a mistake in coding, this is a deliberate scam.

“We’re talking about intentional defrauding and fleecing of American taxpayer money,” he said.

To find out more listen to the podcast below!

Related Stories


We want to hear from you.

Have a story idea or tip? Send it to the KSL NewsRadio team here.

Today’s Top Stories


rabies bats...

Mark Jones

Bat found in SLC tests positive for rabies, health expert weighs in

A bat recently found in Salt Lake City has tested positive for rabies. Nicholas Rupp, of the Salt Lake City Health Department, joined KSL NewsRadio to explain why it was tested.

3 days ago

A small outbreak of whooping cough was detected in Cache Valley, Utah. The Bear River Health Depart...

Waverly Golden

Small whooping cough outbreak in Cache Valley

A small outbreak of whooping cough was detected in Cache Valley, Utah. The Bear River Health Department says vaccination is the best preventative measure.

4 days ago

I’ve been working steadily for hours but feel as if I haven’t even started. My attention is bei...

Sandee LaMotte, CNN

Our attention span is shrinking, studies say, but focus is possible

Researchers say people are concentrating less on any one screen, and are taking longer to refocus on an active work project.

5 days ago

Utah's first insurance provider, Regence Blue Cross Blue Shield, and University of Utah Health are ...

Emily Ashcraft

U of U Health, Regence insurance warn they may not reach a contract

Regence said its negotiations focus on ensuring families and businesses don't have significant increases in premiums.

5 days ago


Michelle Lee

Tackling the loneliness epidemic

A researcher noticed that people were spending more time in isolation and less time with family and friends. Now, 50% of us say we're lonely.

7 days ago

Anxiety in children, especially teenage girls, is on the rise....

Amanda Dickson

Where is anxiety in children coming from?

Rates of anxiety in children have risen since the pandemic, but especially with increase use of social media.

9 days ago

Sponsored Articles

close up of rose marvel saliva blooms in purple...

Shannon Cavalero

Drought Tolerant Perennials for Utah

The best drought tolerant plants for Utah can handle high elevations, alkaline soils, excessive exposure to wind, and use of secondary water.

Group of cheerful team members high fiving each other...

Visit Bear Lake

How To Plan a Business Retreat in Bear Lake This Spring

Are you wondering how to plan a business retreat this spring? Read our sample itinerary to plan a team getaway to Bear Lake.

Cheerful young woman writing an assignment while sitting at desk between two classmates during clas...

BYU EMBA at the Marriott School of Business

Hear it Firsthand: 6 Students Share Their Executive MBA Experience at BYU’s Marriott School of Business

The Executive MBA program at BYU offers great opportunities. Hear experiences straight from students enrolled in the program.

Skier being towed by a rider on a horse. Skijoring....

Bear Lake Convention and Visitors Bureau

Looking for a New Winter Activity? Try Skijoring in Bear Lake

Skijoring is when someone on skis is pulled by a horse, dog, animal, or motor vehicle. The driver leads the skiers through an obstacle course over jumps, hoops, and gates.

Banner with Cervical Cancer Awareness Realistic Ribbon...

Intermountain Health

Five Common Causes of Cervical Cancer – and What You Can Do to Lower Your Risk

January is National Cervical Cancer Awareness month and cancer experts at Intermountain Health are working to educate women about cervical cancer.

Kid holding a cisco fish at winterfest...

Bear Lake Convention and Visitors Bureau

Get Ready for Fun at the 2023 Bear Lake Monster Winterfest

The Bear Lake Monster Winterfest is an annual weekend event jam-packed full of fun activities the whole family can enjoy.

Investigators talk about “moneygrubbers” in elderly Medicare fraud