Tuesday, May 24, 2022

No Integrity

To maintain the integrity of MaineCare, Maine’s Medicaid program, regular audits are performed to protect against fraud, waste and abuse. The healthcare program uses referrals, complaints from other state agencies, healthcare providers or members, and data analysis to detect patterns or trends that may indicate fraudulent actions....

Smoked

Smoked salmon had a part to play in today’s “Fraud of the Day” article. A Gouldsboro, Maine woman, who was on the hook for embezzling money from a smoked salmon seafood business she managed, also committed unemployment fraud while working at a café/deli in...

Running Up a Tab

Individuals who visit a bar often open a tab to keep the drinks coming. A South Paris, Maine man took the concept of “running up a tab” to a whole new level. He essentially opened a tab with a workers’ compensation insurance company and...

Foolish Fraudster

There are a variety of jokes about the number of fools it takes to complete a simple task, such as screwing in a lightbulb. Similarly, have you ever wondered how many times a foolish fraudster gets away with lies before they get caught?'' (According...

How a Tax Identity Fraud Scam Impacted Our Members

Early in 2014, the Maine Medical Association (MMA) began receiving reports from member physicians that they had been victims of identity theft leading to a tax refund fraud scam. They learned about the scam when they filed their state or federal tax return and...

Striking a Nerve

Listen to this Story Pain can be debilitating. (Thankfully, there are a variety of methods available for treating chronic and acute ailments.) A Department of Justice press release tells about how a physician specializing in interventional pain management and...

Blank Check

Having a blank check is almost like winning the lottery. Having access to the whole checkbook of blank checks is even better. An article published by The Portland Press Herald details how a woman used her deceased mother's checkbook to write herself a few...

Digging a Deeper Hole

The Temporary Assistance for Needy Families (TANF) program helps pay for expenses like food, shelter and utilities when times are tough. It is supposed to lend assistance to those who qualify for and deserve financial support during difficult times. An article published in the...

To Take or Not to Take Responsibility

When a defendant enters an Alford Plea, it means that there is not an admission of guilt. Even though the person entering the plea maintains his or her innocence, the court treats the plea as if it were a ''guilty'' plea. (Confused yet?) An...

Disabling Welfare Fraud

Disability claims examiners have the job of deciding whether or not the claims made by benefit applicants are valid or not, ensuring that only qualified beneficiaries receive government assistance. An article posted on CentralMaine.com tells the story of a former state disability claims examiner...
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