Wednesday, August 12, 2020

Willing and Able

It never ceases to amaze how willing and able criminals are to commit fraud. (Money is usually the driver.) A Baltimore, Maryland woman was so willing and able to commit Medicaid fraud that she used her grandmother to carry out her devious scheme. The young...

Lacking Vision

You can be sure that Medicaid examines submitted claims with a proverbial magnifying glass. That’s why it’s important to make sure that every “T” is crossed and every “I” is dotted so that there is no instance of fraud. The office manager of a...

Pinky Promise

When Medicaid providers accept new patients, they essentially make a promise to provide good care and to protect their healthcare records and personally identifiable information. While the operators of two businesses in Bridgeport, Connecticut that offered social and psychotherapy services to their patients appeared...

In Jeopardy

If we were playing a game of Jeopardy with the category “Criminals” and this statement – “This Durham, North Carolina man put local college basketball player eligibility in jeopardy while simultaneously committing $4 million in Medicaid fraud”– the answer would be “ Who is...

Tragic Circumstances

Assisted living is a great option for people who need assistance with medical and personal care. Actual living spaces are designed to be like home and can include individual rooms, apartments or shared areas. The owner of an Anchorage, Alaska assisted living home business...

Buried Under a Mountain of Paperwork

Medicaid provider fraud is pretty common. It’s usually accomplished by submitting lots of claim forms stating that services were provided to beneficiaries, when they were not. Such is the case of a Troutdale, Virginia woman who was recently convicted of Medicaid fraud. She submitted...

Bonafide Drug Dealer

When you think of a drug dealer, what kind of image comes to mind? It’s not always a scary looking dude with tattoos from the bad side of town. A doctor from Anchorage, Alaska is one of the latest bonafide drug dealers to be...

Free Ride

A free ride can turn into a very expensive ride when those who commit fraud against government benefits programs get caught. Such is the case of a Mississippi woman, who took more than a free ride, compliments of the Medicaid...

A (not so) Caring Company

Fraud in the home healthcare fields appears to be on the rise as the industry grapples with a shortage of workers. A woman in New Hope, Minn., who repeatedly billed the Medicaid program for work she never performed as a personal...

Despicable

If there ever was a poster child for the word “despicable,” it would be today’s fraudster – a former psychologist from Caspian, Michigan. What is particularly disturbing about the case is that the medical professional entrusted with helping his drug-addicted patients actually...

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