Saturday, January 25, 2020

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...

Lousy Work Ethic

A nurse in Indiana who apparently didn’t want to go to work is now spending time in jail for committing Medicaid fraud. The Marion County woman was charged with nine felonies–eight counts of forgery and one count of theft—after an investigation found that she submitted...

A Cast of Unscrupulous Characters

As today’s fraud drama unveils, we see a cast of unscrupulous characters that include two brothers, an office billing manager, a licensed nurse practitioner, and an individual who is an expert at forging medical treatment notes (I didn’t know that was a “thing”.) The...

Less is Not More

Less is more when you declutter your home and unload your decades-old clothes and toddler toys of your college-age children. Less also was more when the owner of a durable medical equipment (DME) company in Edinburg, Texas, went almost six years before being caught...

Healthcare Fraud Boom

It’s no secret that healthcare costs are skyrocketing. Instead of turning to assisted living facilities or nursing homes, many individuals are now relying on home healthcare services to keep costs lower. The U.S. National Library of Medicine reports that as of this year, individuals...

Carte Blanche

Choosing a Power of Attorney (POA) is one of the most important decisions you can make in a lifetime because that designated person has the power to act on your behalf. Today’s fraud article is about a man from Nebraska who chose his son...

Diaper Duty

A Columbus, Ohio man tried to dupe Medicaid by pretending to wear diapers so he could collect more than $250,000 in benefits he did not deserve. While Ohio is one of many states that currently offers incontinence supplies as part of its Medicaid coverage,...

Willing and Able

It never ceases to amaze how willing and able criminals are to commit fraud. (Money is usually the driver.) A Baltimore, Maryland woman was so willing and able to commit Medicaid fraud that she used her grandmother to carry out her devious scheme. The young...

Lacking Vision

You can be sure that Medicaid examines submitted claims with a proverbial magnifying glass. That’s why it’s important to make sure that every “T” is crossed and every “I” is dotted so that there is no instance of fraud. The office manager of a...

Pinky Promise

When Medicaid providers accept new patients, they essentially make a promise to provide good care and to protect their healthcare records and personally identifiable information. While the operators of two businesses in Bridgeport, Connecticut that offered social and psychotherapy services to their patients appeared...

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