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The Perfect Scam

Dr. Rotten: Can Medicare Fraud Give You Cancer? Part 2

The Perfect Scam

AARP

True Crime, Society & Culture

4.51.1K Ratings

🗓️ 5 April 2019

⏱️ 32 minutes

🧾️ Download transcript

Summary

When Dr. Maunglay moves to Michigan, he's excited to join Dr. Fata's practice. But Fata's controlling and odd ways make him question his decision to take the job. When Maunglay looks into a patient's records, he's shocked at what he finds: Fata is giving chemotherapy and other treatments to patients who don't need it, some of whom don't have cancer at all. His motive? Stealing money from Medicare.

Transcript

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0:00.0

This week on AARP the Perfect Scamp.

0:03.0

I realized that not only with this true that I had the proof,

0:08.0

but everything, everything I was taught to believe about what we did at Michigan

0:14.2

hematology oncology was a lie.

0:19.4

This week we're bringing you the story

0:21.0

of a massive Medicare fraud scam that touched the lives of so many people

0:26.7

to help us wade through the universe of Medicare fraud and scams.

0:29.6

We brought in a renowned expert this week.

0:32.0

Peggy Spousado is joining us.

0:33.6

She was with the Department of Justice for many years

0:36.0

and worked on the Medicare strike team.

0:39.2

Peggy can tell us more about it.

0:41.0

Peggy, I have a quote that says you single-handedly save

0:43.8

taxpayers billions of dollars in your time with the Department of Justice.

0:48.2

First of all, thanks for doing that.

0:50.5

And you're welcome. Oh yes, I did I did do that you are our Medicare

0:54.8

expert because this stuff gets a little complicated set the stage for us a

0:59.5

little bit what does Medicare fraud mean really I mean if you can sort of give it a definition?

1:04.0

Let me can break it down because when they talk fraud they're talking, fraud claims, fraud in essence.

1:10.0

It's any false fictitious fraudulent claim that's submitted to Medicare is Medicare fraud.

1:19.7

What drives that, part of what drives that, is why it's being listed as such.

1:26.6

Sometimes it's because it's not medically necessary services.

...

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