Sunday, October 2, 2022

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...

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...

Stressed Out

Psychiatrists are supposed to help their patients cope with stress, not cause it. An article published by the Fairfield Patch tells about how a Connecticut psychiatrist and her husband caused quite a bit of stress for their patients, as well as their state's Medicaid...

History Repeats Itself

History tends to repeat itself. While many fraudsters can learn from their mistakes, there are some who often return to old patterns of behavior. A Connecticut man who was gainfully employed by a restaurant, repeated his mistake from a decade earlier and tried to...

Breach of Trust

A Bridgeport, Conn., woman is spending the holidays behind bars and will have to pay more than $1.3 million for her role in an identity theft scheme that defrauded the Medicaid and Social Security benefits programs. The 46-year-old reported to prison in September and will...

Bad Habit

Everyone has a vice, whether it be procrastination, bingeing on Netflix, spending too much time on social media, or something much worse. A Waterbury, Connecticut man, who admitted he had a heroin habit, conspired with his ex-wife to support this bad habit by lying...

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...

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...

The Dark Side

A recent study suggests that 25 percent of Bitcoin users are associated with illegal activity. Today’s fraudster from Illinois fits into that category. He committed identity theft fraud by purchasing the identities of people in 38 states from the dark web using Bitcoin, then...

Unhelpful Helping Hands

The Helping Hands Academy in Connecticut was supposed to provide applied behavior analysis for children diagnosed with Autism Spectrum Disorder (ASD). Instead, the business owner and a phony “behavior analyst” conspired to defraud Medicaid (while victimizing families and patients with subpar services). Medicaid requires that...
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