The Insanity of It All

Commentary by: Larry Benson

Today’s “Fraud of the Day” is based on a press release titled, “Boyd County Woman Convicted of Defrauding Social Security Administration Out of $280,000,” issued by the Department of Justice on July 31, 2015.

Tamira Fonville’s job might be described as “recruiter.” For a time, she profited substantially by enlisting college-age women to participate in a hair show. The problem was, there never was any show, and everything about Fonville’s line of work was a fraud.

She and her partner—both of whom are now in prison—regularly traveled the Interstate 95 corridor from New York to Washington, D.C., visiting shopping malls and other places where young women were known to spend time.

What’s Behind the Motivation?

Commentary by: Larry Benson

Today’s “Fraud of the Day” is based on an article titled, “Caregiver Faces 5 Years for Medicaid Fraud,” published by the Pensacola News Journal on July 17, 2015.

Attorney General Pam Bondi’s Medicaid Fraud Control Unit, with the assistance of the Escambia County Sheriff’s Office, arrested Gloria Michal’le Hardaway, 25, on Friday for allegedly defrauding the Florida Medicaid program out of more than $5,500, according to a news release from the attorney general’s office.

According to the investigation, Hardaway, a caregiver working in Escambia County, failed to report to her employer that she previously had been arrested for Medicaid fraud, making her ineligible to work in the health care field or submit reports for Medicaid billings, according to the release.

Second Chances

Commentary by: Larry Benson

Today’s “Fraud of the Day” is based on an article titled, “Apopka Woman Gets 18 Months for Medicaid Fraud,” written by Kevin P. Connolly and published by the Orlando Sentinel on July 7, 2015.

Apopka businesswoman was recently sentenced to 18 months in prison after she was found guilty of Medicaid fraud.

Shanqual Marshall-Gunn, owner of Second Chances TCM, was arrested in September on suspicion of submitting more than $47,000 in fraudulent Medicaid claims, according to the Florida Attorney General’s Office.

Bad Behavior

Commentary by: Larry Benson

Today’s “Fraud of the Day” is based on an article entitled “Ridgeland Woman to Pay 3 Million in Medicaid Fraud” published by The Clarion-Ledger on June 30, 2015.

A Ridgeland woman has been ordered to pay more than $3 million in restitution and penalties after she pleaded guilty to three counts of Medicaid fraud.

Theresa Lane Fisher, 46, was ordered Monday to pay $803,744.93 in restitution and a penalty of $2,411,234.79.

Attention to Detail

Commentary by: Larry Benson

Today’s “Fraud of the Day” is based on an article entitled “Chester County Woman Found Guilty of Medicaid Fraud” posted on ReadingEagle.com on July 11, 2015.

A jury found a Chester County woman guilty Friday of submitting fraudulent Medicaid claims for hours and services of care she claimed to provide for her disabled son while working as an independent contractor through a Reading services provider.

Angela D. Biesecker, 57, of Phoenixville, stood before Thomas G. Parisi in the four-day trial that ended Friday afternoon. The jury convicted Biesecker of Medicaid fraud, theft by deception and receiving stolen property of more than $2,000.

Tamper Resistant

Commentary by: Larry Benson

Today’s “Fraud of the Day” is based on an article titled, “Deer Lodge Woman Pleads Guilty to Medicaid Fraud,” written by Pat Henson and published by The Montana Standard on June 19, 2015.

DEER LODGE — A Deer Lodge woman pleaded guilty this week to felony Medicaid fraud by common scheme and no contest to tampering with a witness, a felony.

Kristi Rydeen admitted that between Oct. 1, 2010, to Oct. 31, 2013, while providing services as a counselor and mental health therapist, she obtained Medicaid payments or benefits for herself by purposely making and submitting false or misleading Medicaid claims, statements and documents for services or items, according to district court documents.

Throwing Caution to the Wind

Commentary by: Larry Benson

Today’s “Fraud of the Day” is based on an article titled, “Child Counselor Pleads Guilty to Medicaid Fraud,” written by David Prock and published by 1170 KFAQ Tulsa’s Talk Radio on June 17, 2015.

OKLAHOMA CITY – A former children’s counselor pleaded guilty to 11 felony counts following charges brought by Oklahoma Attorney General Scott Pruitt.

Vincent Chukuneye Dike, 58, of Edmond, pleaded guilty to 11 counts of Medicaid fraud.

Two Timing

Commentary by: Larry Benson

Today’s “Fraud of the Day” is based on an article titled, “Waynesboro Woman Pleads Guilty to Medicaid Fraud,” written by Becky Metrick and published by PublicOpinionOnline.com on May 30, 2015.

CHAMBERSBURG – A Waynesboro woman pleaded guilty and was sentenced for felony Medicaid fraud during a hearing on Wednesday at Franklin County Courthouse.

Sandra D. Grisson, 49, was charged in early April by the Attorney General’s Office, for falsely recording hours that she spent as a caretaker for at least one person, including duplicate hours being reported to two companies.

High Priority

Commentary by: Larry Benson

Today’s “Fraud of the Day” is based on an article titled, “Carson Woman Sentenced to Prison for $8.3 Medicare Fraud Scheme,” published by the Daily Breeze on May 11, 2015.

A registered nurse from Carson who owned a medical supply company was sentenced Wednesday to four years in federal prison for her role in an $8.3 million Medicare fraud scheme.

In addition to the prison term, U.S. District Judge Christina A. Snyder ordered Olufunke Fadojutimi to pay nearly $4.3 million in restitution, according to the U.S. Department of Justice.

Trail of Evidence

Commentary by: Larry Benson

Today’s “Fraud of the Day” is based on an article titled, “North Jersey Man’s Plea Deal in MRI Fraud has Incentive Clause,” written by Lindy Washburn and posted on NorthJersey.com on May 11, 2015.

The owner of a string of imaging centers that bribed doctors with cash and luxury goods for patient referrals agreed in court on Monday to help fraud prosecutors investigate others in the scheme — a deal that will reduce his prison time the more doctors he turns in.

Rehan “Ray” Zuberi described in state Superior Court in Morristown how he and others in his organization paid “anywhere from $50 to $150” per MRI or CT scan to physicians and chiropractors who referred their patients to his centers. Authorities said his organization paid several million dollars in kickbacks over six years.

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