Saturday, December 7, 2019

Bittersweet

Public assistance funds are meant for the needy. An article published in the Indy Star follows a woman who submitted fake applications for Medicaid benefits like coins in a bubblegum machine and ended up unlawfully receiving more than $720,000 as a result of her...

Second Chances

Sometimes people make mistakes and are offered a chance at doing things right the second time around. (Everyone needs a ''do-over'' at some point in life, but not every action demands a ''do-over.'') An article published by The Orlando Sentinel tells about a Florida...

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...

D-I-Y Fraud

Do-It-Yourself or D-I-Y projects are pretty popular. There are television networks and a multitude of websites devoted to explaining how to accomplish a variety of projects from start to finish. While D-I-Y projects usually save a lot of money, a Connecticut dentist who concocted...

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 Joyride is Over

Luxury car commercials are famous for advertising vehicles with glossy wax jobs, sleek interiors and attractive drivers while speeding across beautiful terrain. (You can almost feel the wind in your hair followed by the shock of the sticker price.) According to an article in...

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...

Beware of the Heedless Horoscope

The Battle Creek Enquirer has the otherworldly story of a superstitious Michigan CEO, who is now serving prison time for using half a million dollars in company money to finance a phony psychic. A recent report details how the man, after twenty five years at...

Costly Cure

A former clinical pharmacy manager from Jonesborough was sentenced to 16 months in federal prison for healthcare fraud, which resulted in at least a $4.4 million loss to TennCare.

Head Check

According to an article published in the News & Observer, a North Carolina woman, who ran a counseling business, scammed Medicaid by using patient ID numbers to bill the government benefits program for services that were not needed nor provided. (Did I mention the...

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