Friday, October 23, 2020

Not Who She Appears to Be

Medicaid is a federal healthcare program that is meant to aid those with limited income and resources. Over 70 million Americans are currently covered by Medicaid. Low-income families, pregnant women, children, and individuals with disabilities are just a few of the groups qualified to...

Hiding Fraud

Straw ownership involves someone who appears to legally own property, but does so on behalf of the actual owner, who does not want to be recognized. This practice is generally legal, however, it can used for illegal purposes, including concealing assets from the...

That’s the Way the Ball Bounces

In the state of Oklahoma, Medicaid pays for behavioral health rehabilitation services that are designed to support and treat children and their families who are experiencing difficulties in their daily lives. The intent is to help them improve their lives through counseling by keeping...

There’s Nothing Wise About Committing Fraud

Americans are all too familiar with the devastating effects of opioid abuse. On average, 130 Americans die every day from an opioid overdose, according to the federal Centers for Disease Control and Prevention. What is less known is the role Medicaid plays in that. Non-elderly people with opioid...

Oh, My Aching Feet

There are more than 7,000 nerve endings in your feet, which provide the foundation for your entire body. When your feet ache, everything else feels the repercussions. An enterprising podiatrist in Pennsylvania took advantage of his patients' aching feet to bill Medicaid, Medicare and...

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...

Not Exactly What the Doctor Ordered

Pharmacists are experts about the chemical properties of drugs and how they work within the human body. Their job is to fill medication orders as prescribed by doctors and provide advice to patients on health-related issues – sometimes referring them to doctors. Most pharmacists...

Bad Behavior

People have all sorts of reasons for behaving badly. Some are placed in difficult situations and feel there is no way out. As a result, frustration can turn into anger and subsequently emotions erupt, impacting others in a negative way. Others feel entitled to...

Enterprising Fraudster

Medicaid billing fraud is a lucrative business for enterprising fraudsters. Perpetrators of this type of fraud are counting on patients and Medicaid claims processors to not examine their billing statements too closely. A doctor in Ohio was running a profitable billing fraud enterprise out...

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...

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