Monday, April 6, 2020

No Ride Share

Access to healthcare, or lack thereof, is a major nationwide policy discussion that usually centers around a patient’s ability to pay. Another factor that prevents many from receiving healthcare is having reliable transportation. Recognizing this issue, Medicaid - the federal and state program for those...

Eyes and Ears on the Lookout

Prosecutors are cracking down on health care practitioners who defraud state Medicaid programs. Michigan Attorney General Dana Nessel is giving stern warnings to those who steal from the state program that provides health insurance for the poor and disabled. "Those who think they can get...

Let’s Be Reasonable

An Iowa ear, nose, and throat doctor facing allegations of false Medicaid claims for endoscopic sinus surgeries contends that “reasonable people can disagree about the best medical options.” (But how reasonable it is to disagree on 115 medical procedures from one physician in one...

Meaningful Consequences

Medicaid providers who steal from the government healthcare program by billing for services they don’t deliver eventually face severe consequences for committing Medicaid fraud. That is the message received (loud and clear, might I add) from federal prosecutors in Georgia who recently won major...

No Free Rides

For some people, the toughest part of accessing healthcare can be just getting to a doctor’s appointment. A 2017 study by the American Hospital Association found that as many as 3.6 million people in the United States do not access medical care due to...

Not So Happy at Home

Some people try harder than others to cover their tracks when committing fraud. (For those who don’t, it’s just a matter of time before they are caught.) That’s the case for the owner of an in-home personal care company in the Concord, New Hampshire...

Con Costs

One of the most common methods of healthcare fraud comes from healthcare workers billing insurance programs for services that are never delivered. What people may not realize is just how stiff the penalty can be in these cases. One of the latest cases of in-home...

Counseling Crisis

Medicaid recipients are some of the most vulnerable among us. Things are even worse for those needing mental healthcare, which is one of the toughest specialties for accessing treatment. In the world of fraud, it’s especially appalling when a practitioner would breach the trust...

Breach of Trust

A Bridgeport, Conn., woman is spending the holidays behind bars and will have to pay more than $1.3 million for her role in an identity theft scheme that defrauded the Medicaid and Social Security benefits programs. The 46-year-old reported to prison in September and will...

No Services Rendered

An Arkansas-based speech therapist has pleaded guilty to Medicaid fraud for billing the state health insurance program in the names of children who did not receive services. The 44-year-old woman, who owns a speech therapy clinic in Benton, billed the program for more than $64,000...

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