Sunday, January 24, 2021

A Little Here, A Little There

Medicaid is the single largest payer for mental health services in the United States with nearly 12 million visits to U.S. hospital emergency departments. (These individuals had either a mental disorder, a substance abuse problem, or both.) Another shocking statistic from the U.S. Surgeon General claims that...

Head Check

According to an article published in the News & Observer, a North Carolina woman, who ran a counseling business, scammed Medicaid by using patient ID numbers to bill the government benefits program for services that were not needed nor provided. (Did I mention the...

Come on Down

To be successful at workers' compensation fraud, criminals must be experts in malingering – the act of faking a physical or psychological illness for personal gain. According to an article in The Week, a postal worker from North Carolina did a great job...

Not A Good Idea

The United States Attorney for the Eastern District of North Carolina says 46-year-old Shephard Lee Spruill II of Winterville, pleaded guilty to conspiracy to commit health care fraud, and perjury.

Taking Advantage of Kids

Finding adequate and appropriate daycare is difficult for any parent, including beneficiaries who rely on Medicaid to subsidize payments to childcare programs. Once an appropriate childcare provider is found, parents don't usually expect to have the identities of their children stolen, and they...

Exportation Lesson

Remember those economics lessons from college? The countless chapters read, differentiating between imported and exported goods and learning the methods and laws of importing/exporting? Turns out...it doesn't take an economic genius to make a little money using a foreign destination. No – all you...

What a Pile of Scrap

Fraudsters are always coming up with new and innovative ways to carry out their crimes, however, today's "Fraud of the Day" shines the spotlight on a North Carolina businessman who used a simple and oft used technique to hide his fraudulent acts. He thought...

For Rent

Renting has advantages. For instance, if you rent a house, you are responsible for taking care of the place but, you're not stuck with a mortgage when you move out. When you rent a movie from your cable provider, you get to enjoy a...

Corrupt Care

There is a certain level of trust involved in committing to an assisted living facility (ALF), whether one is seeking care for him or herself, or they are seeking care for a loved one. Lists of questions arise during the search for an ALF,...

Peace of Mind

It is estimated that 65.7 million informal and family caregivers provide care to someone who is ill, disabled or aged in the United States. These Americans have to balance the demands of work, home, kids and caring for a loved one who needs assistance....
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