Monday, June 17, 2019
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Medicaid Fraud

Brace Yourself

Medicaid not only provides affordable medical coverage to adults, children, pregnant women, low-income families, and elderly and disabled individuals, but also dental and orthodontic treatment to eligible beneficiaries. Read on to find out how a New York orthodontist with 12 locations in Manhattan, Brooklyn, Queens, The Bronx...

Three Strikes, You’re Out

Baseball season is in full swing. It’s as good of a time as any to explain a few basic rules. Baseball players get three strikes per at bat. If they miss a pitch, don’t swing at a pitch in the strike zone, or hit a...

Taken on a Ride

Medicaid covers eligible beneficiaries who need a ride to a doctor’s appointment, hospital or other medical office. (Obviously, the destination must be an approved provider and drivers are only supposed to transport patients to the medical appointment then back home, with no unnecessary stops in between.)...

Power

Sometimes power changes people for the better and sometimes it doesn’t. Some people use a position of power to help others around them, while others use it to serve themselves. A former Nebraska Medicaid administrator used his position as power of attorney for his father to...

What a Quack

The American Psychiatric Association explains that psychiatrists are medical doctors who specialize in the diagnosis, treatment and prevention of mental, emotional and behavioral disorders. They can also help with the physical aspects of psychological problems and write prescriptions. (This can help bring restorative health to people who...

Cruising Along

On average, Fairbanks, Alaska gets about 65 inches of snow and around 11 inches of rain each year. Temperatures can range anywhere from -17 degrees to 52 degrees Fahrenheit, averaging around 27 degrees. (Needless to say, it sounds pretty cold and gloomy.) A personal care attendant from...

Deliberate

Fraud is any deliberate act to take property or money by deception from a victim. In other words, it’s an intentional act to deceive for the purposes of unlawfully or unfairly gaining something. (It’s driven by a fraudster’s need to become wealthy without having to actually...

Someone Dropped the Ball

Home health or personal care aides provide personal care services such as meal planning and food preparation, companionship, medication management, transportation, bathing and dressing services to individuals who are ill, injured or disabled, elderly or fragile in general. (On average, Medicaid pays caregivers $8 - $14 per...

False Labor

False labor during a pregnancy can feel like a true contraction and tricks many mothers into thinking their baby is about to arrive. A Carolina Beach, North Carolina woman is the focus of today’s fraud article because she committed Medicaid Fraud while trying to trick at...

Teamwork

Defrauding takes teamwork. Today’s fraudster from Bridgeport, Connecticut teamed up with other unscrupulous individuals (and that’s putting it nicely) to steal the Medicaid provider numbers of two licensed healthcare providers. One co-conspirator contributed the personally identifiable information of more than 100 Medicaid clients from...

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