Friday, October 22, 2021

The Medicaid Tooth Fairy

The tooth fairy makes losing teeth a much more tolerable experience. (Kids know they’re going to wake up with a couple of bucks under their pillow, so why not embrace the pain for a reward at the end.) A Connecticut dentist blew the whistle...

Family Therapy

Family plays an important role in how its members develop emotionally, physically and spiritually, because each individual is impacted by other family members. Sometimes, there is a need to address mental health concerns that affect the family as a whole, including issues such as...

From Soup to Workers Comp Fraud

Correction Officers have a tough job. They are responsible for keeping incarcerated individuals safe, whether in jail, at a work release or drug treatment center, or in any other type of correctional facility. Hoai Le, 49, of West Hartford, Conn., was allegedly injured while...

Teamwork

Defrauding takes teamwork. Today’s fraudster from Bridgeport, Connecticut teamed up with other unscrupulous individuals (and that’s putting it nicely) to steal the Medicaid provider numbers of two licensed healthcare providers. One co-conspirator contributed the personally identifiable information of more than 100 Medicaid clients from...

Road Show

Unemployment insurance benefits are funded through taxes paid for by employers. (Unlike Social Security benefits, workers do not have to pay into the system through paycheck deductions.) The insurance program is intended to provide temporary income for workers who are either partially or fully...

So Much for Caring

Medicaid provides comprehensive coverage for children with behavioral health needs, making treatment affordable for low income families. The owner of a former New Haven, Connecticut behavioral health clinician group deceptively called Caring Family Solutions carried out a Medicaid fraud scheme that stole $100,000 in a very...

Filing False Claims Leads to Court Cases

The U.S. Justice Department—and, specifically, U.S. attorneys in Connecticut—are cracking down on Medicaid fraud from healthcare providers who file false claims. In the latest case, a Waterbury licensed professional counselor in children’s behavioral health, has entered into a civil settlement with federal authorities to reimburse...

Fraud Patrol

State troopers are entrusted with patrolling highways and interstates as well as promoting the general safety of the public. (Being deceitful and putting their own interests above the welfare of others are not traits typically associated with the profession.) Kevin Moore, a Connecticut State...

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...

Thank You for Not Frauding

The history of “buttlegging,” or cigarette smuggling, is unfortunately rather established on the east coast of the US. The practice has commonly been used by organized crime and terrorist organizations to defraud the government of money and raise illicit funds. In fact,...
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