Thursday, August 22, 2019

Good Help is Hard to Find

When searching for home health caregivers, it can be hard for homebound individuals to find someone that is suitable. (Afterall, you would want to be comfortable with someone you don’t know coming into your home to take care of you. It’s a very vulnerable position...

So Much for Caring

Medicaid provides comprehensive coverage for children with behavioral health needs, making treatment affordable for low income families. The owner of a former New Haven, Connecticut behavioral health clinician group deceptively called Caring Family Solutions carried out a Medicaid fraud scheme that stole $100,000 in a very...

Blatant Disregard

Sometimes welfare recipients unintentionally make mistakes on their applications for government benefits. Today’s fraudster, a York, Pennsylvania man, intentionally lied on multiple applications for Medicaid and Supplemental Nutrition Assistance Program benefits. He committed Medicaid fraud and SNAP fraud when he blatantly disregarded the government’s rules. Read on...

Fraud Intervention

The point of an intervention is to disrupt how something is being done so that change can occur. If done properly, interventions can help with alcohol or substance abuse, unruly adolescents, distressed families or children with severe emotional disturbances. The owner of a Fayetteville, Georgia organization...

Pooling Resources

Pooling resources can help create an efficient working environment by maximizing the use of personnel or equipment. (This decreases operation costs and increases profits.) Two Sumter, South Carolina women thought they’d pool their resources to carry out a Medicaid fraud scheme that involved inflating bills submitted...

No Integrity

To maintain the integrity of MaineCare, Maine’s Medicaid program, regular audits are performed to protect against fraud, waste and abuse. The healthcare program uses referrals, complaints from other state agencies, healthcare providers or members, and data analysis to detect patterns or trends that may indicate fraudulent actions....

The Definition of Greed

Fraudsters are the epitome of greed. If you opened a dictionary to the word “greed,” you would find a picture of a Youngstown, Ohio, home healthcare company owner who endangered the life of one of her clients. Her Medicaid fraud scheme left a vulnerable client unattended...

Things That Go Together

Some things go together perfectly like salt and pepper, peanut butter and jelly, or shoes and socks. The owner of a Milwaukee, Wisconsin mental health clinic tried to use an interesting combination of urine tests and offshore telemedicine therapy to carry out a Medicaid fraud scheme. (That’s...

Discreet

Getting old is definitely not for sissies. Some old age issues include aches and pains, memory loss, and mobility issues, not to mention incontinence (which impacts about 13 million Americans). Depending on needs and eligibility, Medicaid in the State of Illinois pays for a range...

A Little Here, A Little There

Medicaid is the single largest payer for mental health services in the United States with nearly 12 million visits to U.S. hospital emergency departments. (These individuals had either a mental disorder, a substance abuse problem, or both.) Another shocking statistic from the U.S. Surgeon General claims that...

Get Your Fraud Fix!

Five days a week wake up to the most current fraud article in your mailbox.