Wednesday, August 5, 2020

“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...

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...

Home-Health Fraud

People who qualify for Medicaid’s home healthcare coverage are some of the most vulnerable among us. They are impoverished or disabled and count on home-health workers to help them with basic needs. But that doesn’t stop some people from stealing from the program and...

Blatant Disregard

Sometimes welfare recipients unintentionally make mistakes on their applications for government benefits. Today’s fraudster, a York, Pennsylvania man, intentionally lied on multiple applications for Medicaid and Supplemental Nutrition Assistance Program benefits. He committed Medicaid fraud and SNAP fraud when he blatantly disregarded the government’s rules. Read on...

Gone Fishing

It’s amusing to read stories about fraudsters who get caught in the act. Today’s fraud article, which details the story of a former Bucks County, Pennsylvania corrections officer who took two undercover agents on a fishing expedition, is one of those. While out enjoying...

Alphabetical Order

Dental visits are usually met with trepidation. (It’s rare that you find anyone super excited to make the twice-yearly trek into the dentist office for a routine cleaning, x-rays and mouth cancer check). Under the guise of some much needed dental procedures, a Bucks...

Poor Choices

Today’s “Fraud of the Day” is based on an article entitled, “Therapist receives 46-month prison sentence for fraud” published by Central Penn Business Journal. A judge sentenced a Lancaster County behavioral health consultant to 46 months' imprisonment for lying to her employer about prior Medicaid fraud convictions.

Oh, My Aching Feet

There are more than 7,000 nerve endings in your feet, which provide the foundation for your entire body. When your feet ache, everything else feels the repercussions. An enterprising podiatrist in Pennsylvania took advantage of his patients' aching feet to bill Medicaid, Medicare and...

Jamaican Me Crazy

Fraudsters love to spend their stolen money on lavish lifestyles, expensive vehicles, luxurious designer items and trips to warm climates ,preferably islands where they cannot be easily found. A former mental health counselor from Pennsylvania used Medicaid to fund at least 24 trips out...

Seeing Things in a Different Light

How we see ourselves can be very different from how others see us. The owner and operator of a medical staffing company and home care services provider in Pennsylvania definitely saw herself in a different light than the government prosecutors who went after her...
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