Friday, September 25, 2020

Fraud Consultants Inc.

People tend to enjoy their work more when they are close with their co-workers. Two Pennsylvania women have reinforced their close working relationship by becoming fraudsters and co-conspirators who were recently convicted for Medicaid fraud. (They got each other into a lot of trouble,...

Dirty Politicians

Normally, knowing the right people and having the right connections can help a company flourish.  (That is if your connections are not corrupt politicians, fellow fraudsters, or greedy businessmen.) The Medicaid scandal that is rocking Little Rock, Arkansas involves former Sen. Jeremy Hutchinson and...

A Not So Tender Heart

Some people are called to the medical field because of their endless compassion and desire to care for people. Others work in the medical field because of their greed and the opportunity to exploit others. Katrina Lynch of Cypress, Virginia used her position in the...

Not Who She Appears to Be

Medicaid is a federal healthcare program that is meant to aid those with limited income and resources. Over 70 million Americans are currently covered by Medicaid. Low-income families, pregnant women, children, and individuals with disabilities are just a few of the groups qualified to...

Breaking Point

Those wishing to receive treatment for alcohol and drug abuse often turn to rehabilitation facilities to help guide them to sobriety. One of Medicaid’s benefits is that many inpatient rehabilitation centers and outpatient services are partially or fully covered by the government healthcare program. Braking...

New Manager Needed

Despite the coronavirus pandemic, courts are still in session and hearing cases. One of the cases the Indiana Northern District Court will be handing down a sentence for involves Suzi Gawel, who stands accused of defrauding Medicaid of hundreds of thousands of dollars. Gawel worked...

COVID Feature: Rolling Into Fraud

The coronavirus pandemic has led to an increase in people registering with state Medicaid programs, which has corresponded with a spike in Medicaid related fraud. Medicaid fraud can take many forms as fraudsters pour their creativity into preying on the most vulnerable among us....

No ‘Buttes’ About It

A mental health counselor in Butte, Mont., was charged with 13 counts of Medicaid fraud but made a deal with prosecutors to plead guilty to just two of the charges. Dana Trandahl admitted that she billed Medicaid for mental health counseling services never provided to...

Orthodontist found guilty of more than 1,800 cases of fraud

Imagine earning money for services never performed – and that came from public coffers. That's exactly what Dr. Richard Malouf did, according to Texas Medicaid investigators. Malouf, an orthodontist with several clinics in Dallas, falsely billed Medicaid for services that other doctors performed, some...

Strong Evidence

Strong evidence against a Las Vegas, Nev., couple links them to healthcare fraud, wire fraud, aggravated identity theft, and money laundering in North Carolina. But remember that strong evidence against a defendant doesn’t mean they are guilty. (Keep that in mind as you read...

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