Saturday, October 24, 2020

COVID Feature: Rolling Into Fraud

The coronavirus pandemic has led to an increase in people registering with state Medicaid programs, which has corresponded with a spike in Medicaid related fraud. Medicaid fraud can take many forms as fraudsters pour their creativity into preying on the most vulnerable among us....

No ‘Buttes’ About It

A mental health counselor in Butte, Mont., was charged with 13 counts of Medicaid fraud but made a deal with prosecutors to plead guilty to just two of the charges. Dana Trandahl admitted that she billed Medicaid for mental health counseling services never provided to...

Orthodontist found guilty of more than 1,800 cases of fraud

Imagine earning money for services never performed – and that came from public coffers. That's exactly what Dr. Richard Malouf did, according to Texas Medicaid investigators. Malouf, an orthodontist with several clinics in Dallas, falsely billed Medicaid for services that other doctors performed, some...

Strong Evidence

Strong evidence against a Las Vegas, Nev., couple links them to healthcare fraud, wire fraud, aggravated identity theft, and money laundering in North Carolina. But remember that strong evidence against a defendant doesn’t mean they are guilty. (Keep that in mind as you read...

Unqualified

In the State of Kansas, home health care services are available to qualified seniors and individuals with disabilities who want to live independently in their homes and communities. Medical and skilled service providers help with basic personal needs such as eating, bathing, brushing teeth,...

Lavish Fraud

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...

Facing Change

The owner of a Lewiston, Maine counseling agency named “Facing Change” is ironically facing a great deal of change in her own life after being convicted for committing Medicaid fraud. She used her mental health and substance abuse counseling agency to steal more than...

Brazen

An Atlanta man has been sentenced to 11 years in federal prison for leading a fraud ring across the Southeast that netted $2.5 million in fraudulent Medicaid payments. Prosecutors say Matthew Harrell, 44, was the brains behind a four-person criminal ring that stole Medicaid information...

Adult Supervision

Sometimes adults need care and supervision during the day. Whether it’s senior citizens or disabled citizens, adult day care centers can provide enjoyment, entertainment and companionship. Today, we take a look at the former owner and operator of two adult day care centers in...

Filing False Claims Leads to Court Cases

The U.S. Justice Department—and, specifically, U.S. attorneys in Connecticut—are cracking down on Medicaid fraud from healthcare providers who file false claims. In the latest case, a Waterbury licensed professional counselor in children’s behavioral health, has entered into a civil settlement with federal authorities to reimburse...

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