Oh Behave

Commentary by: Larry Benson

Today’s “Fraud of the Day” is based on an article entitled, “Mother, son plead guilty to defrauding Medicaid out of nearly $770,000” posted on KFOR.com on January 5, 2017.

OKLAHOMA CITY – A mother and a son pleaded guilty to defrauding Medicaid out of nearly $770,000.

Yesterday, officials say Deborah Gray, 60, and her son, Keith Gray, II, 26, both of Oklahoma City, pleaded guilty to three counts of health care fraud in connection with submitting false claims to Medicaid for behavioral health counseling services.

A Matter of Life or Death

Commentary by: Larry Benson

Today’s “Fraud of the Day” is based on an article entitled, “Prairieville couple sentenced in $7 million Medicaid fraud scheme,” published on December 20, 2016.

The owner of a now-defunct south Louisiana personal-care company has been ordered to spend 10 years in prison and pay nearly $7 million in restitution to the state in a Medicaid fraud scheme, a sentence that drew praise Tuesday from Louisiana Attorney General Jeff Landry.

Dwaine Joseph Woods, 47, of Prairieville, and his wife, Dynetta Hadrick Woods, 44, were convicted last year of taking part in a conspiracy to forge cardiopulmonary resuscitation and first aid training certification documents for 19 Millennium Health Care Services LLC employees who never attended training, so they would be in compliance with requirements for personal-care attendants at the time.

There’s No Substitute for Hard Work

Commentary by: Larry Benson

Today’s “Fraud of the Day” is based on an article entitled, “Ambulance Company Owner, Brother Convicted in $6 Million Healthcare Fraud,” published on December 10, 2016.

HOUSTON – Two brothers have been convicted on charges of conspiracy to commit healthcare fraud and money laundering, announced U.S. Attorney Kenneth Magidson.

Kevin Olufemi Davies, 29, and his brother Melvin Olusola Davies, 28, owned and operated KMD Healthcare Services Inc. (KMD) from their home in a gated townhouse community in Houston. As part of their guilty pleas, they admitted they used stand-in emergency medical technicians (EMT) who were not employees or affiliated with KMD to pass the state inspection necessary for enrollment in the Medicare program.

Seeing Things in a Different Light

Commentary by: Larry Benson

Today’s “Fraud of the Day” is based on an article entitled, “Medical staffing CEO gets prison in Medicaid fraud case,” published by Central Penn Business Journal on December 22, 2016.

A Cumberland County businesswoman who admitted to scamming Medicaid through her Harrisburg-area medical staffing company must spend three years behind bars and pay back more than $1 million.

Rose Umana, 49, of Mechanicsburg, was sentenced Wednesday by U.S. District Court Judge Sylvia H. Rambo.

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.

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