Today’s “Fraud of the Day” is based on an article entitled, “Atoka business gets $4.7 million judgment for Medicaid fraud,” posted on KXII.com on August 12, 2016.
ATOKA, Okla. – Lexie Batchelor said she started LXE Counseling in Atoka in 2010 after having a daughter who struggled with alcoholism.
“I go to work every day and I try to help people,” Batchelor said.
Today’s “Fraud of the Day” is based on an article entitled, “Milford Dentist to Pay $1.3M in Medicaid Fraud Case,” published by The Milford Patch on September 14, 2016.
MILFORD, CT — A pediatric dentist with practices in Milford and West Haven, has agreed to pay more than $1.3 million to the state and federal government to resolve allegations that uncertified assistants took X-rays of patients.
Dr. Jesus Villegas and his pediatric dental practices – Fairfield Pediatric Dentistry, LLC, in Milford and Haven Pediatric Dentistry, LLC, in West Haven – will pay $1,367,466 to resolve allegations that they violated the federal and state False Claims Acts by authorizing certain dental assistants who were not certified by the Dental Assisting National Board (DANB) to take dental X-rays of his Medicaid patients, according to authorities.
Today’s “Fraud of the Day” is based on an article entitled, “Mother Convicted in Medicaid time-sheet fraud,” published by the Burlington Free Press on August 19, 2016.
A Swanton woman has been convicted of Medicaid fraud and ordered to serve prison time after she submitted false time sheets claiming three employees had provided personal care services to her children.
Karen Tucker pleaded guilty and was convicted of four counts of Medicaid fraud Wednesday, the Vermont Attorney General’s Office said in a statement Friday.
Today’s “Fraud of the Day” is based on an article entitled, “Norridgewock woman sentenced for welfare fraud” posted on CentralMaine.com on July 12, 2016.
AUGUSTA — A former city woman will serve an initial four months in jail for welfare fraud involving almost $23,000 in state benefits over a 33-month period.
Nina Maraglia, 37, formerly of Augusta and now of Norridgewock, had the remainder of the two-year sentence suspended and was placed on two years’ probation.
Today’s “Fraud of the Day” is based on an article entitled, “Doctor sentenced to 2 years in Sacred Heart bribery scheme,” published by The Chicago Tribune on August 12, 2016.
In the years before Sacred Heart Hospital abruptly closed, a series of elderly nursing home patients were taken to the struggling West Side medical facility, where they were whisked directly into a room to be examined and tested.
The reasons for admission were murky. The trips to Sacred Heart, situated in the Garfield Park area, often made little geographic sense. Many of the patients were mentally disabled and poor.
Today’s “Fraud of the Day” is based on an article entitled, “Former Priority Partners employee pleads guilty to Medicaid fraud,” published by The Baltimore Sun on August 26, 2016.
A former employee of Priority Partners, a Medicaid Managed Care Organization owned by Johns Hopkins HealthCare, pleaded guilty to felony Medicaid fraud for altering medical records that caused the Medicaid to improperly pay the company more than $875,000.
Inca Elfriede Schultz, 61, of Cudjoe Key, Fla., was sentenced to five years incarceration by Anne Arundel County Circuit Court Judge Michael Wachs. He suspended all but 18 months of her sentence to be served in home detention.
Today’s “Fraud of the Day” is based on an article entitled, “Las Vegas woman sentenced in Medicaid fraud case,” published by KTNV on August 29, 2016.
LAS VEGAS (KTNV) – Nevada Attorney General Adam Paul Laxalt announced that 51-year-old Linda Crutcher-Austin of Las Vegas was sentenced for Medicaid fraud.
The fraud was committed between June and November 2013.
Today’s “Fraud of the Day” is based on an article, “Personal care assistant required to pay $25,000 for Medicaid fraud,” published by KMOV on July 1, 2016.
JEFFERSON CITY, Mo. (KMOV.com) – A personal care attendant will serve five years probation and be ordered to pay back $25,000 to Missouri’s Medicaid Program.
Yvonne Conly was originally sentenced to serve three concurrent prison sentences of five years, following her guilty pleas for Medicaid fraud back in May of this year.
Conley worked for four different personal care companies that had contracts with Medicare. She would provide healthcare services to patients in their homes, and then submit reports on all the services she provided.
January 2012 to October 2012, Conley reported that she provided healthcare services to two-or-three different patients at the same time on the same day.
Today’s “Fraud of the Day” is based on an article entitled, “Reno owner of No Child Left Behind services guilty of fraud” posted on KOLOTV.com June 9, 2016.
RENO, Nev. (AP) – A northern Nevada company doing business as No Child Left Behind Behavioral Health Services and the 39-year-old Reno woman who owns it have been convicted of federal fraud for billing Medicaid for children’s services never provided.
Nevada Attorney General Adam Laxalt said Thursday Candia Alea Tolbert was found guilty of intentional failure to maintain adequate records, and her business guilty of submitting false claims.
Today’s “Fraud of the Day” is based on an article entitled, “Dover doctor pleads guilty to felony health care fraud,” published by the Delaware State News on June 27, 2016.
DOVER — A Dover pain doctor was sentenced to 18 months of probation Monday after pleading guilty to one count of felony health care fraud involving fraudulent billing practices.
Dr. Senad Cemerlic, an anesthesiologist and owner of ABG Pain Clinic, was ordered to pay $250,000 in restitution to the state Division of Medicaid and Medical Assistance and a $50,000 fine. He also must pay $10,000 to cover the cost of the investigation that began last in year in response to a tip to the state Medicaid Fraud Control Unit.