Friday, August 12, 2022

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...

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...

Not So Happy Family

Wali Muhammad, 46, of Connecticut has been sentenced for Medicaid Fraud. Between 2010 and 2019, he owned and operated Happy Family Clinical Services LLC, a mental health and social services agency located in New Haven since 2014. (I’m guessing his family is not so...

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,...

How to Catch a Psycho Biller

No one in their right mind would dare submit hundreds of fraudulent bills to Medicaid and expect to get away with it. And yet today’s fraudster accomplished just that. The owner and operator of a social services business that provided psychotherapy to Medicaid beneficiaries...

Schemers are Dreamers

The primary function of the Internal Revenue Service's (IRS) Scheme Development Center (SDC) is to detect suspicious criminal activity involving tax and related financial investigations and to assemble information on the suspected individuals and entities involved. (One of their responsibilities is to investigate tax...

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...

Stuck with the Bill

Group homes provide a place where a small number of unrelated individuals, who need care, support, or supervision, can live together while receiving assistance. Those support services can include help with cooking, cleaning, shopping, personal care, mental health counseling services, financial management, personal relationships,...

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...

Painful Mistakes

We've all made painful mistakes. (Whether buying something we can't afford, forgetting a significant other's birthday, or forgetting to set an alarm for an early morning flight, there are always consequences for our actions whether intentional or not.) Today's ''Fraud of the Day'' details...
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