Friday, August 18, 2017

If the Shoe Fits

It 's no secret that most women love shoes. It 's not clear whether the woman in today 's "Fraud of the Day" had a shoe fetish, but she most definitely used her position as a store manager for a diabetic footwear store to...

Doubly Unqualified

The State of Alabama 's Medicaid agency requires mental health counselors to meet specific licensure requirements before providing services to underprivileged patients and submitting claims for reimbursement. The owner of an Alabama counseling business was doubly unqualified to participate in the Medicaid program for...

Pulling Fraud Off the Streets

Statistics from the National Institute on Drug Abuse show that the abuse of prescription opioids costs our Nation $26 billion in health care-related expenses each year. Another $78.5 billion in costs can be attributed to crime, lost work productivity and health care. A Detroit-area...

Over and Above

Fraudsters are in business to make as much money as quickly as possible. Therefore, it is highly unlikely that they would submit claims to a government health care program undercharging for services. The owners of a non-emergency medical transport company went over and above...

Dead Man Talking

Dead men don't talk, but apparently, a deceased dentist in New Jersey performed a wide variety of dental procedures and earned a lot of money from the government in the process. Today 's "Fraud of the Day" examines a case about a dentist who...

Oh, My Aching Feet

There are more than 7,000 nerve endings in your feet, which provide the foundation for your entire body. When your feet ache, everything else feels the repercussions. An enterprising podiatrist in Pennsylvania took advantage of his patients' aching feet to bill Medicaid, Medicare and...

Oh, Brother!

Twins are known for having fun with creating confusion for those who can't tell them apart. They can dress and act alike, fooling friends, teachers and even dates. A man at the center of today 's "Fraud of the Day" used his twin brother...

Jamaican Me Crazy

Fraudsters love to spend their stolen money on lavish lifestyles, expensive vehicles, luxurious designer items and trips to warm climates ,preferably islands where they cannot be easily found. A former mental health counselor from Pennsylvania used Medicaid to fund at least 24 trips out...

Truly Ashamed

It must be interesting to hear repeated confessions from fraudsters who express their remorse after getting caught. (I'm guessing there are many judges who could write a "Top 10" list of the most annoying pleas for leniency.) Today 's "Fraud of the Day" highlights...

Overwhelming Evidence

An Alford plea is used in a criminal case when a defendant doesn't want to plead guilty, but the evidence is so overwhelming that it is likely a judge or jury would find them guilty beyond a reasonable doubt. A Virginia couple entered an...

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