Medicaid Fraud

A Columbus, Ohio man tried to dupe Medicaid by pretending to wear diapers so he could collect more than $250,000 in benefits he did not deserve. While Ohio is one of many states that currently offers incontinence supplies as part of its Medicaid coverage,...

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...

The tooth fairy is a fantasy character that many children delight in, especially after they have tucked their baby tooth under their pillow and woken up to find a small payment in exchange. Today's ''Fraud of the Day'' details how a dentist mistook the...

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...

When a criminal defendant uses an insanity plea, it means they declare they did not understand they were doing something wrong while committing a crime. (That's my non-legal definition.) A Department of Justice press release tells about a woman who claimed an insanity defense...

Sometimes family members will cover for each other to prevent a loved one from getting into trouble. A father, mother and son used their family ties to abuse the Vermont Medicaid Children's Personal Care Services Program (PCS). They stole more than $100,000 from the...

There are a multitude of ways to save time. Some common ideas for adding back minutes to your day include strategic planning, prioritizing your day and making a daily “to-do” list. An Orlando woman, who owned a healthcare solution company, wanted to speed up...

Fraud Analytics: 21st Century Technology A new cache of fraud analytics has entered the 21st Century rockin' and rollin' at an all-time high. Fraud has spread across the globe and fraud professionals predict that the amount of fraud will continue to increase as this decade...

As today’s fraud drama unveils, we see a cast of unscrupulous characters that include two brothers, an office billing manager, a licensed nurse practitioner, and an individual who is an expert at forging medical treatment notes (I didn’t know that was a “thing”.) The...

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...