Sunday, May 31, 2020

No Free Rides

For some people, the toughest part of accessing healthcare can be just getting to a doctor’s appointment. A 2017 study by the American Hospital Association found that as many as 3.6 million people in the United States do not access medical care due to...

Not So Happy at Home

Some people try harder than others to cover their tracks when committing fraud. (For those who don’t, it’s just a matter of time before they are caught.) That’s the case for the owner of an in-home personal care company in the Concord, New Hampshire...

Con Costs

One of the most common methods of healthcare fraud comes from healthcare workers billing insurance programs for services that are never delivered. What people may not realize is just how stiff the penalty can be in these cases. One of the latest cases of in-home...

Counseling Crisis

Medicaid recipients are some of the most vulnerable among us. Things are even worse for those needing mental healthcare, which is one of the toughest specialties for accessing treatment. In the world of fraud, it’s especially appalling when a practitioner would breach the trust...

Breach of Trust

A Bridgeport, Conn., woman is spending the holidays behind bars and will have to pay more than $1.3 million for her role in an identity theft scheme that defrauded the Medicaid and Social Security benefits programs. The 46-year-old reported to prison in September and will...

No Services Rendered

An Arkansas-based speech therapist has pleaded guilty to Medicaid fraud for billing the state health insurance program in the names of children who did not receive services. The 44-year-old woman, who owns a speech therapy clinic in Benton, billed the program for more than $64,000...

Lousy Work Ethic

A nurse in Indiana who apparently didn’t want to go to work is now spending time in jail for committing Medicaid fraud. The Marion County woman was charged with nine felonies–eight counts of forgery and one count of theft—after an investigation found that she submitted...

A Cast of Unscrupulous Characters

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...

Less is Not More

Less is more when you declutter your home and unload your decades-old clothes and toddler toys of your college-age children. Less also was more when the owner of a durable medical equipment (DME) company in Edinburg, Texas, went almost six years before being caught...

Healthcare Fraud Boom

It’s no secret that healthcare costs are skyrocketing. Instead of turning to assisted living facilities or nursing homes, many individuals are now relying on home healthcare services to keep costs lower. The U.S. National Library of Medicine reports that as of this year, individuals...

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