Friday, July 10, 2020
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Medicaid Fraud

Unqualified

In the State of Kansas, home health care services are available to qualified seniors and individuals with disabilities who want to live independently in their homes and communities. Medical and skilled service providers help with basic personal needs such as eating, bathing, brushing teeth,...

Lavish Fraud

Most people would be amenable to living a lavish lifestyle if they had the means to support it and it was legal. The former owner of a Portsmouth, Va. home health care company, P&S Home Health Care Solutions, used her position to support a...

Facing Change

The owner of a Lewiston, Maine counseling agency named “Facing Change” is ironically facing a great deal of change in her own life after being convicted for committing Medicaid fraud. She used her mental health and substance abuse counseling agency to steal more than...

Brazen

An Atlanta man has been sentenced to 11 years in federal prison for leading a fraud ring across the Southeast that netted $2.5 million in fraudulent Medicaid payments. Prosecutors say Matthew Harrell, 44, was the brains behind a four-person criminal ring that stole Medicaid information...

Adult Supervision

Sometimes adults need care and supervision during the day. Whether it’s senior citizens or disabled citizens, adult day care centers can provide enjoyment, entertainment and companionship. Today, we take a look at the former owner and operator of two adult day care centers in...

Filing False Claims Leads to Court Cases

The U.S. Justice Department—and, specifically, U.S. attorneys in Connecticut—are cracking down on Medicaid fraud from healthcare providers who file false claims. In the latest case, a Waterbury licensed professional counselor in children’s behavioral health, has entered into a civil settlement with federal authorities to reimburse...

Two Plead Guilty in $87 Million Home Health Fraud

Two Pennsylvania women are the latest to plead guilty in a Medicaid fraud scheme that has 16 people facing prison sentences and hefty fines for collecting reimbursements on services not performed. Terra Dean, 46, and Larita Walls, 57, could receive as much as 20 years...

The Biggest Abuser

With a drug abuse epidemic sweeping Ohio, affected individuals are in desperate need of recovery and rehabilitation services. But the owner of numerous recovery facilities was focused on amassing a fortune through Medicaid fraud rather than meeting their needs. Ryan P. Sheridan pleaded guilty in...

Hovering Dentist Faces Jail Time

It’s a trademark of digital natives to overshare information and images. They’re young enough to have not known a time before people instantly shared video and images of everything from what they had for breakfast to bathroom selfies. (Too much information if you ask...

“Ghost” Employee; Real Scam

A Pennsylvania Personal Assistance Services director pleaded guilty to participating in a massive Medicaid fraud scheme. His plea included one count of conspiracy to defraud the Pennsylvania Medicaid program and one count of healthcare fraud. Keith Scroggins, who worked for Moriarty Consultants, Inc., submitted fraudulent...

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