Friday, July 30, 2021

Lower Than the Lowest Fraudster

Abuse of government healthcare beneficiaries is beyond despicable, particularly when the victims are vulnerable adults who are unable to defend themselves, remove themselves from the facility in which the abuse is happening, or even report it. Unfortunately, those circumstances apparently provided a perfect opportunity...

Small-Time Schemer Avoids the Big House

As the nation’s public health insurance program for people with low incomes, Medicaid provides coverage for about one in five Americans. (Many of these vulnerable individuals need costly care.) Even relatively small-scale fraud diverts money that is sorely needed to provide healthcare to those...

Many Chickens Come Home to Roost

One South Dakota fraudster is having a bad spring. Holli Telford Lundahl of Oelrichs, South Dakota was found guilty on May 6 of three counts of health care fraud and two counts of aggravated identity theft, committed as part of three schemes to defraud...

Feloniously Ever After

It’s the typical fraud love story. Girl (felon) meets boy (felon), boosts an existing Medicaid fraud scheme, collects millions, and lives happily ever after. It’s a happy ending only if you omit the part where they get caught, plead guilty, forfeit the fraudulently obtained...

Cheap and Felonious

When a pivotal employee resigns, responsible business owners usually scramble to fill the vacancy with a well-qualified replacement. That didn’t seem to be much of a concern for the owner of Riverside Cytology Laboratory, based in Tell City, Ind., which tested pap smear slides...

These Numbers Don’t Add Up

A Louisville man has been sentenced to time in federal prison for failing to report nearly $1 million in income to the Internal Revenue Service and for defrauding Kentucky's Medicaid program. Hatem Kaisi, 52, previously pled guilty in court to three counts of filing...

Therapists, Heal Thyselves?

Former Florida residents Stephanie Lynn Fleming and Helen Elizabeth Storey of Waldorf, Md., were convicted of healthcare fraud conspiracy, healthcare fraud, and aggravated identity theft for a Medicaid scheme carried out in Storey’s North Florida Mental Health (NFMH) business in Tallahassee. Fleming was also...

A Fall from Grace

A Greensboro, N.C. woman has been sentenced after participating in a scheme that defrauded the North Carolina Medicaid program out of hundreds of thousands of dollars. Things started going south for this fraudster when she decided to misrepresent her business affairs. Pamela Grace Faulkner, 60,...

The Birth of a Fraudulent Scheme

A former Maricopa County, Ariz., assessor has been sentenced after pleading guilty to Medicaid fraud and forgery charges. Paul Peterson faced four separate charges in relation to his operation of a fraudulent adoption scheme. Petersen was first arrested in October 2019 for his role in...

Figuring on Fraud

Fraudsters typically don’t have the best math skills. April Lynn Brown, 47, of Las Vegas, Nev., was hoping that Medicaid auditors would not notice the nearly $500,000 she tried to illegally siphon from the government healthcare program. Unfortunately for her, they noticed her figures...

Get Your Fraud Fix!

Five days a week wake up to the most current fraud article in your mailbox.