Tuesday, November 29, 2022

Pyramid Scheme

James A. Mays, III, 44, of Winfield, Ala., entered a guilty plea for his role in a drug-billing scheme involving a Haleyville-based pharmacy. Mays pleaded guilty to one count of conspiring to commit healthcare and mail fraud, twelve counts of healthcare fraud, and three...

Sweet Home Alabama

Medicaid is a state-run insurance program intended to help individuals and families afford health insurance when they may not otherwise be able to. The Medicaid program is also seen as a lucrative target for fraudsters looking to defraud government programs for their own benefit. An...

No Services Needed

Psychologists are supposed to help those who are struggling by providing counselling. Unfortunately, some healthcare companies and professionals choose to betray the trust of their clients and use their position to commit Medicaid fraud. (Which ironically causes the need for those defrauded to require...

Counseling Crisis

Medicaid recipients are some of the most vulnerable among us. Things are even worse for those needing mental healthcare, which is one of the toughest specialties for accessing treatment. In the world of fraud, it’s especially appalling when a practitioner would breach the trust...

What a Pain

Today’s “Fraud of the Day” is based on an article entitled, “Daphne pain doctor pleads guilty to healthcare fraud, money laundering,” posted on AL.com. A former pain doctor, who operated in Baldwin County, pleaded guilty to federal charges for defrauding Medicaid.

Doubly Unqualified

The State of Alabama 's Medicaid agency requires mental health counselors to meet specific licensure requirements before providing services to underprivileged patients and submitting claims for reimbursement. The owner of an Alabama counseling business was doubly unqualified to participate in the Medicaid program for...

Footing the Fraud Bill

Podiatrists have a complicated and sometimes unpleasant job when it comes to the diagnosis and treatment of more than 26 bones, over 100 muscles, tendons and ligaments and 33 joints in the foot. A podiatrist in Pennsylvania used his patients to take a load...

Three of a Kind

Listen to this Story Disciplines and interests as diverse as writing, computer science, mathematics and medicinal chemistry have their own meanings for the ''rule of three.'' In Alabama, ''the rule of three'' turned up when the rule of law...

Doubling Down on Fraud

Listen to this Story Some people try to catch lightning in a bottle, but this fraudster tried to do so twice. AL.com tells the story of a woman who was recently sentenced for food stamp fraud and income...

Stuck on Fraud

Listen to this Story Many consider the Deepwater Horizon/BP oil spill to be the largest disaster in the history of petroleum. When the environmental catastrophe occurred in the Gulf of Mexico in April 2010, the explosion and collapse of...
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