re: Former AL, current TN doctor & family indicted for $41 Million healthcare fraud scheme

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You have to be really dumb to not get away with over prescribing/over providing unnecessary medical services and drugs. It is almost always a case of them getting too greedy.

They likely have evidence of their plot that they emailed/texted each other as well. Or they did some dumb shite like giving 1,000 pills to one person for a month or something.

If done right, you don't get caught. It's a shame, but it's true. Always provide what you bill for and never, ever document the strategy in a way that can be used against you. And keep it relatively small time and never more than one patient can possibly have.

If you do all that, the worst they get you with is a medical board problem, not a legal one because you can argue it was what you believed medically best for the patient.

Doctors are people too and there are thousands that have no ethical code. It's pitiful.

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This was a kickback situation. The doctors were getting paid by the laboratory so they would send their urine samples to them for analysis. At that time, Medicare and BCBS would pay $1000 per cup and a decent clinic could send 80-100 per day, every day.
In this instance the lab was also providing employees and other illegal benefits as well as putting money into a "charity".