Friday, October 23, 2020

Two Plead Guilty in $87 Million Home Health Fraud

Two Pennsylvania women are the latest to plead guilty in a Medicaid fraud scheme that has 16 people facing prison sentences and hefty fines for collecting reimbursements on services not performed. Terra Dean, 46, and Larita Walls, 57, could receive as much as 20 years...

The Biggest Abuser

With a drug abuse epidemic sweeping Ohio, affected individuals are in desperate need of recovery and rehabilitation services. But the owner of numerous recovery facilities was focused on amassing a fortune through Medicaid fraud rather than meeting their needs. Ryan P. Sheridan pleaded guilty in...

Hovering Dentist Faces Jail Time

It’s a trademark of digital natives to overshare information and images. They’re young enough to have not known a time before people instantly shared video and images of everything from what they had for breakfast to bathroom selfies. (Too much information if you ask...

“Ghost” Employee; Real Scam

A Pennsylvania Personal Assistance Services director pleaded guilty to participating in a massive Medicaid fraud scheme. His plea included one count of conspiracy to defraud the Pennsylvania Medicaid program and one count of healthcare fraud. Keith Scroggins, who worked for Moriarty Consultants, Inc., submitted fraudulent...

There’s Nothing Wise About Committing Fraud

Americans are all too familiar with the devastating effects of opioid abuse. On average, 130 Americans die every day from an opioid overdose, according to the federal Centers for Disease Control and Prevention. What is less known is the role Medicaid plays in that. Non-elderly people with opioid...

No Ride Share

Access to healthcare, or lack thereof, is a major nationwide policy discussion that usually centers around a patient’s ability to pay. Another factor that prevents many from receiving healthcare is having reliable transportation. Recognizing this issue, Medicaid - the federal and state program for those...

Eyes and Ears on the Lookout

Prosecutors are cracking down on health care practitioners who defraud state Medicaid programs. Michigan Attorney General Dana Nessel is giving stern warnings to those who steal from the state program that provides health insurance for the poor and disabled. "Those who think they can get...

Let’s Be Reasonable

An Iowa ear, nose, and throat doctor facing allegations of false Medicaid claims for endoscopic sinus surgeries contends that “reasonable people can disagree about the best medical options.” (But how reasonable it is to disagree on 115 medical procedures from one physician in one...

Meaningful Consequences

Medicaid providers who steal from the government healthcare program by billing for services they don’t deliver eventually face severe consequences for committing Medicaid fraud. That is the message received (loud and clear, might I add) from federal prosecutors in Georgia who recently won major...

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...

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