Wednesday, April 8, 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...

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...

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.

How Many People Live at Your House?

Everyone has needs – the most basic being food, clothing and shelter. Today's Fraud of the Day from the Pocono Record, addresses a potential case of fraud involving the last of these three needs? shelter. The article reports that a low income housing resident has...

Food for Thought

Through the U.S. Department of Agriculture, the Child and Adult Care Food Program (CACFP) provides nutritious food to young children, older adults and chronically impaired disabled persons in institutions such as day care centers and group homes. (This is definitely food for thought –...

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...

The Convict That Rocks the Cradle

Being a parent is stressful enough; imagine finding out that you unwittingly left your kids in the care of a federal convict? Philly.com has the story of a middle-aged Philadelphia man who failed to include evidence of his criminal record when he applied for...

Cooperation Goes A Long Way

It's always important to be cooperative when seeking leniency from the Judge. An article on Philly.com details the story of the former director and owner of a Philadelphia hospice center, who cooperated with federal prosecutors regarding his participation in fraud scheme that billed...

Rules for a Reason

Let's face it? the rules matter (even though we often rebel against them). And when it comes to receiving government benefits, following the rules is particularly important. Agencies use rules to determine who is eligible for benefits and who isn't – an important job...
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