Wednesday, March 20, 2019

Gross Misconduct

People get fired for misconduct all the time. Some are simply disobedient, insubordinate, or don’t show up on time for work. Things get a little more serious when it comes to sexual misconduct and when corporate officers use the power of their position to...

Heartless

Today’s “Fraud of the Day” is based on an article entitled, “She pulled teeth, provided fillings, but wasn’t a dentist and is headed to prison,” published by the Idaho Statesman. Cherie R. Dillon, 62, will spend five years in prison for completing dental procedures that legally could only be performed by a dentist.

Just Trying to Help Out

Two Winston-Salem men were convicted this week on federal charges that they committed more than $1 million in health care fraud through a company they started in Jacksonville, Florida.

Misdiagnosed

An Institute of Medicine report estimates that 30 cents of every healthcare dollar are wasted in unnecessary healthcare costs, many related to misdiagnoses. (That adds up to about $750 billion a year.) A Powell, Wyoming psychologist committed Medicaid fraud by misdiagnosing patients with mental...

Not Exactly a Brainiac

Brainiacs often appear in children’s cartoons or superhero movies and play the part of someone who is extremely intelligent, but somewhat maniacal. A Kansas man, who provided home health services to patients with traumatic brain injuries (TBI), did not appear to have any maniacal...

The Honeymoon’s Over

Arkansas Attorney General Leslie Rutledge today announced the conviction of an Izard County woman for marrying a patient she was caring for, which would make her ineligible to be paid by the Medicaid program, and continuing to provide care.

Anyone and Everyone

As of June 2018, more than 66 million individuals were enrolled in Medicaid. As approximately one-sixth of the national healthcare economy, it’s easy to see how the government healthcare program is an easy target for fraud. (In 2016, Medicaid spending totaled $565.5 billion.) A...

Mental Anguish

It’s deplorable when a mental health services business takes advantage of vulnerable patients to make a profit. That’s exactly what happened in today’s “Fraud of the Day” case which involves the co-owners of a Henry County, Georgia mental health services business. They committed Medicaid...

Flying Under the Radar

Elizabeth Jones Powell pleaded guilty in to federal charges of health care fraud and tax evasion. After her prison term, she will be on supervised release for three years. She will also have to pay back more than $450,000 in fraudulent Medicaid claims and unpaid taxes.

Miniscule or Massive?

Arkansas Attorney General Leslie Rutledge today announced the conviction of a Little Rock woman for theft. Jene Wyatt pleaded guilty in Pulaski County District Court and has paid $1,438.56 in restitution to the Arkansas Medicaid Program Trust Fund. Wyatt will pay the same amount in fines to the General Fund of the State of Arkansas. “Jene Wyatt took advantage of an important safety net for vulnerable Arkansans,” said Attorney General Rutledge. “Investigators and attorneys at the Attorney General’s office continue to work diligently to stop this type of fraud.”

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