05/21/2026
A $660,000 Medicaid fraud case just hit Connecticut.
And the first question physicians asked me today wasn’t about the clinic involved.
It was:
“How do I make sure this can’t happen in my practice?”
This week, four employees at a Shelton clinic were arrested for submitting thousands of claims under physicians’ NPIs, without permission, without supervision, and in some cases, without a license.
Most practices aren’t doing anything intentionally wrong.
But most vulnerabilities aren’t intentional either.
They’re structural.
They hide inside workflows that feel “fine” until an auditor looks closely.
And when a case like this hits the news, every compliant physician feels the ripple effect, more scrutiny, more administrative pressure, more fear of being blindsided by something they didn’t even know was happening.
This is why I talk so much about Revenue Defense.
Not as a buzzword, but as a practical framework for protecting the practice you’ve worked so hard to build.
Here’s what I tell the physicians I support:
• Know exactly who is using your NPI — and why
• Confirm supervision and scope before anything is billed
• Review high‑risk codes and patterns quarterly
• Don’t assume your staff “knows” — verify your processes are airtight
• Build systems that protect you even when you’re not in the room
You don’t need fear.
You need clarity.
You need structure.
You need a way to see the gaps before they become headlines.
That’s exactly why I created The Revenue Defense Playbook — a simple, practical guide to help private practice owners strengthen their operational foundation and reduce preventable risk.
If this week’s news made you pause, this will help you regain control.
I’ll drop the link in the comments.
