Too Good to be True

Commentary by: Larry Benson

Today’s “Fraud of the Day” is based on an article entitled, “Saginaw-area doctor pleads guilty to felonies for Medicaid fraud,” posted on mlive.com on October 27, 2016.

SAGINAW, MI — A Nigerian doctor who lived in Saginaw Township and ran clinics throughout Saginaw and Flint pleaded guilty for defrauding a taxpayer-funded health care program.

Dr. Chidozie Ononuju, 57, pleaded guilty on Oct. 27, to three counts of medical fraud-false claim after making fraudulent Medicaid billings, according to a press release from Michigan Attorney General Bill Schuette.

That’s the Way the Ball Bounces

Commentary by: Larry Benson

Today’s “Fraud of the Day” is based on an article entitled, “Oklahoma City counselor pleads guilty to Medicaid fraud, identity theft,” posted on KFOR.com on October 13, 2016.

OKLAHOMA CITY – An Oklahoma City counselor pleaded guilty to Medicaid fraud and one count of identity theft.

Damon N. Wells, 34, was employed as a Behavioral Health Rehabilitation Specialist at Pennington Creek Life House.

Be On Your Best Behavior

Commentary by: Larry Benson

Today’s “Fraud of the Day” is based on an article entitled, “Former counselor pleads guilty to Medicaid fraud, identity theft,” published by Insurance Fraud News on November 4, 2016.

November 4, 2016, Oklahoma City, OK — A former behavioral health counselor pleaded guilty to Medicaid fraud and identity theft following charges brought by Attorney General Scott Pruitt.

Toris Emanuel Louie, 28, of Oklahoma City, submitted documents to his employer indicating that he provided counseling services to children that had never occurred. Louie also used the children’s personal Medicaid identification numbers to fraudulently obtain payment from the Oklahoma Health Care Authority for services that were never provided.

Mother-Daughter Collusion

Commentary by: Larry Benson

Today’s “Fraud of the Day” is based on an article entitled, “Chanute woman ordered to repay more than $3,000 for Medicaid fraud,” published by The Chanute Tribune on August 4, 2016.

A Chanute woman was ordered Wednesday to repay more than $3,000 to the Kansas Medicaid Program after pleading guilty to Medicaid fraud-related charges, Kansas Attorney General Derek Schmidt said.

Lisa Deweese, 25, pleaded guilty last month in Neosho County District Court to one count of unlawful acts relating to the Medicaid program. Judge Daryl Ahlquist ordered Deweese to repay $3,685.19 to the Kansas Medicaid Program. Judge Ahlquist also sentenced Deweese to 12 months probation with 12 months post release supervision. Convictions such as this one may also result in a period during which the defendant is prohibited from being paid wages through a government health care program.

Footing the Fraud Bill

Commentary by: Larry Benson

Today’s “Fraud of the Day” is based on an article entitled, “Broomall podiatrist admits role in $5M insurance scam,” published by the Delaware County Daily Times on August 28, 2016.

PHILADELPHIA – A Broomall podiatrist pleaded guilty Thursday to defrauding Medicare, Medicaid and four private victim insurance companies out of approximately $5 million, according to a release from U.S. Attorney Zane David Memeger.

Stephen A. Monaco, 59, of Marple, was charged in June as part of what federal officials said was the largest national Medicare fraud takedown in history.

Tooth Fairy

Commentary by: Larry Benson

Today’s “Fraud of the Day” is based on an article entitled, “Dentist pleads guilty to Medicaid fraud,” published by The Valdosta Daily Times on October 17, 2016.

VALDOSTA — A Valdosta dentist pleaded guilty this week to allegations he charged Medicaid for extracting teeth he did not pull.

Dr. Stanley B. Marable, DDS, 55, pleaded guilty to one count of health care fraud in the federal courtroom in Valdosta, according to court records.

Flexibility

Commentary by: Larry Benson

Today’s “Fraud of the Day” is based on an article entitled, “Beshear: Elliott County woman sentenced for Medicaid fraud,” published by The Daily Independent on October 25, 2016.

FRANKFORT Attorney General Andy Beshear and his Office of Medicaid Fraud and Abuse today announced an Elliott County woman has been sentenced on felony charges for Medicaid fraud.

Ruby Fraley, 56, of Isonville, was convicted earlier this month in Elliott Circuit Court on two counts of Medicaid fraud, both Class D felonies. Her sentencing was in Morgan Circuit Court this week, where she was sentenced to one year on each count, to run concurrent. The court probated her sentence. Additionally, Fraley paid $1,640 in restitution in advance of her sentencing.

Fake It ‘Til You Make It

Commentary by: Larry Benson

Today’s “Fraud of the Day” is based on an article entitled, “3 acquitted, 1 guilty in Medicaid fraud trial,” published by The Augusta Chronicle on November 6, 2016.

After hearing from dozens of witnesses and viewing enough records to cover the town in paper, the jury in this week’s Medicaid fraud trial acquitted the defendants of all charges except one – Carl “Tony” Wardlaw was convicted of conspiracy.
The Richmond County Superior Court jury deliberated for more than seven hours before reaching the verdicts Saturday night. Judge J. Wade Padgett imposed the maximum sentence possible for Wardlaw, five years in prison

D-I-Y Fraud

Commentary by: Larry Benson

Today’s “Fraud of the Day” is based on an article entitled, “Winstead Dentist Fined $717,046 for Illegal Medicaid Bills,” posted on ctwatchdog.com on August 10, 2016.

A Winsted dentist and his practice were ordered to pay $717,046 in restitution and civil penalties after a Superior Court judge found his conduct violated the Connecticut Unfair Trade Practices Act, also known as CUTPA, Attorney General George Jepsen said today.

The ruling, which followed an investigation and seven-day court hearing, finds that Dr. Douglas Macko and his dental practice – Douglas Macko, D.M.D., P.C. – devised and implemented an illegal scheme over several years to improperly bill the Connecticut Medicaid program for pediatric dental cleanings and fluoride treatments.

What is Medicaid Fraud?

Commentary by: Larry Benson

In honor of Fraud Awareness Week, every day this week we are providing a video of the day tied to a different government fraud related topic. Today’s video is titled, Exploring Tax Identity Theft. Watch the video and check out the related articles on this page to learn more about today’s fraud topic.

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