Monday, June 17, 2019

Dead as a Door Nail

There are many ways to commit healthcare fraud. Some of the most common methods include billing for services not rendered, double billing, misrepresenting dates, locations and providers of service, charging for more expensive procedures, but providing less expensive ones and paying kickbacks. Today’s fraudster,...

Can’t You Hear the Whistle Blow

Government benefit programs rely on the honesty and integrity of insiders to report fraud, waste and abuse. Large financial rewards can be given to whistleblowers who share any information that may be helpful in stopping the misuse of benefits intended for qualified beneficiaries. Today's...

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...

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...

Crushed By Wheelin’ and Dealin’

It should be a relief to honest citizens to know that bankruptcy isn't simply a get-out-of-jail-free card for fraudsters. According to KentReporter.com, Washington state authorities rolled right over a man who willingly endangered poor and disabled patients when he provided them with used wheelchairs...

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.

False Labor

False labor during a pregnancy can feel like a true contraction and tricks many mothers into thinking their baby is about to arrive. A Carolina Beach, North Carolina woman is the focus of today’s fraud article because she committed Medicaid Fraud while trying to trick at...

Family Therapy

Family plays an important role in how its members develop emotionally, physically and spiritually, because each individual is impacted by other family members. Sometimes, there is a need to address mental health concerns that affect the family as a whole, including issues such as...

Losing Control

Many people have a fear of losing control. In a world already full of uncertainty, fraudsters attempt to control their destiny by stealing from others so that they can live a more predictable, comfortable lifestyle. (Unfortunately, these unscrupulous individuals perpetuate even more anxiety for...

Doubly Unqualified

The State of Alabama 's Medicaid agency requires mental health counselors to meet specific licensure requirements before providing services to underprivileged patients and submitting claims for reimbursement. The owner of an Alabama counseling business was doubly unqualified to participate in the Medicaid program for...

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