Pennsylvania License Defense Blog

Health Insurance Fraud

April 23, 2025

Here, the executive vice president of an insurance brokerage firm pleaded guilty to his role in a scheme to submit fraudulent applications to enroll…

Being scrutinized? Keep up with your continuing education anyway

April 20, 2025

If you have recently learned that you are under investigation or facing a formal complaint that could impact your professional license, it can feel…

Pharmacy Utilization Review and “Worthless Service” Provider Fraud Claims

April 15, 2025

If you own a pharmacy and dispense medications prescribed by a physician and paid through a government health system, be careful. All prescriptions billed…

Fraud is Fraud — fake medicare medicaid billing codes for the wrong services and services that were not provided

April 14, 2025

Beginning in 2018, Gabriel Adam Alexander Luthor, a.k.a. Gabriel Adam Alexander Langford, 39, and Elizabeth Christine Brown, 42, intentionally devised and carried out a…

Accusations of domestic violence can damage a medical career

April 11, 2025

Domestic violence accusations can result from conflicts between intimate partners or longstanding issues within a family. Even an altercation with a roommate could potentially…

Nursing Home Admin Steals Elderly Residents, Deceased Residents’ Estates for Her Own Financial Benefit

April 8, 2025

Mia Hardy, 58, was arrested and charged by indictment with eight counts of wire fraud, arising from an alleged scheme to defraud the residents…

OIG Debarment Letters — What To Do!

April 7, 2025

Did you receive an OIG debarment letter? Are you a nurse prosecuted because of Operation Nightingale? If you are in healthcare, you need to…

Common examples of pharmacist negligence

April 3, 2025

Pharmacists play an important role in patient safety. However, like any profession, mistakes can happen. In Pennsylvania, pharmacist negligence may lead to a license…

Medicare, Medicaid & Payer Audit Requests Payers are auditing claims at an increasing rate. Be prepared! Have a process

April 2, 2025

Medicare, Medicaid & Payer Audit Requests Payers are auditing claims at an increasing rate. Be prepared! Have a process to ensure the packets are…

Addiction Center Fraud — Improper Prescribing and DEA Violations

April 1, 2025

3 convicted in $8M addiction treatment fraud scheme –…. Creativity rules the day here!. Court documents and trial evidence show that Dr. José Alzadon,…

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