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.

Smoke Screen

Commentary by: Larry Benson

Today’s “Fraud of the Day” is based on an article titled, “Counselor’s Medicaid Fraud Sentencing Cancelled,” published by The Argus Leader on April 29, 2015.

A man who’d once admitted to Medicaid fraud will take his case to trial after a judge rejected his plea agreement at sentencing.

Shawl Nills, 41, was set to be sentenced Wednesday in Madison for making false claims to Medicaid, but Judge Vince Foley decided not to proceed.

Losing Control

Commentary by: Larry Benson

Today’s “Fraud of the Day” is based on an article entitled “Owner of N.J. Healthcare Agency Admits to $7 Million Fraud, Bribery, and Tax Evasion” posted on NJ.com on April 20, 2015.

NEWARK — The owner of a Linden home health care agency pleaded guilty to carrying out a multimillion dollar Medicaid fraud, bribery and other offenses that could lead to decades in prison, the office of U.S. Attorney for New Jersey Paul Fishman announced Monday.

Irina Krutoyarsky, 61, of Springfield, owner of HHCH Health Care, is scheduled to be sentenced in September after admitting she told the state’s Board of Nursing that the aides she employed had completed required training and testing when in reality she charged the aides hundreds each for obtaining fraudulent credentials.

The Sobering Effect of Fraud

Commentary by: Larry Benson

Today’s “Fraud of the Day” is based on an article titled, “Brookline Doctor Sentenced to Jail, Fined for Medicaid Fraud,” written by Jack Newsham and published by The Boston Globe on April 7, 2015.

A Brookline doctor has been sentenced to 11 months in jail and ordered to pay $9.3 million for running a Medicaid fraud scheme.

Dr. Punyamurtula Kishore and his statewide chain, Preventive Medical Associates, Inc., were found guilty of fraudulently billing MassHealth for unnecessary drug tests. According to the state, Kishore collected urine samples from drug treatment centers across the state and billed the Medicaid provider for testing them, even though the people who provided the samples weren’t being treated by his clinics and the tests weren’t medically necessary.

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