Friday, October 22, 2021

Turning Point

A turning point is typically described as a time when an important change in a situation occurs, usually one that has beneficial results. Today’s fraud story definitely had a turning point, but there were no benefits reaped by Lopez Scott, 46, of Portsmouth, Va....

There’s Always an Alternative

A New Hampshire man will pay $1 million in restitution after being convicted of Medicaid fraud. Richard Wennerberg, 72, of Grantham, has been sentenced after pleading guilty to two counts of Medicaid fraud. Wennerberg owned Alternative Care @ Home LLC., a registered Hopkinton business that...

You’ve Been Warned

Katrina Lynch, 39, of Texas, has been sentenced to serve 50 months in prison for defrauding Virginia Medicaid out of nearly $3 million. (For some Medicaid fraudsters, that’s just pocket change.) Lynch owned a home healthcare service company, A Tender Heart, LLC, where she enrolled...

Facing Change: From Home to Prison Cell

Abdirashid Ahmed, 41, and Garat Osman, 35, have been sentenced for committing health care fraud. The two Lewiston men were interpreters who conspired with local mental health counseling services to fraudulently obtain funds from MaineCare. Between November 2015 and May 2018, Ahmed worked with...

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...

A Gentle Nudge

Keyana Lanice Jamill Carter, 29, of Nevada has been found guilty of Medicaid fraud. Carter was sentenced for billing clients for Medicaid services that she did not provide. (That’s one of the oldest Medicaid fraud scams in the book.) Carter admitted to submitting the falsified...

Bye Bye, La La Land Scam  

The last of a quintet of scam-prone California medical professionals has pleaded guilty to conspiracy to commit healthcare fraud. Five medical professionals at Los Angeles Community clinic concocted a scheme that resulted in $8.4 million in fraudulent Medicaid claims. The criminal team made $6.6...

Changing Directions: Headed Straight to Jail 

Two Maryland women have been sentenced after committing Medicaid fraud. Sasha Saunders, 42, and Diane Jordan, 48, were found guilty of billing Medicaid using stolen identities.    Saunders worked as the founder and president of two mental health and substance abuse treatment programs. Jordan was the vice president of the same companies – Changing Directions, Inc. and HEAL Inc. (Perhaps the women should have tried...

No Time to Waste

A West Virginia woman has been sentenced for her role in a Medicaid fraud scheme involving a deceased beneficiary. (Thankfully, she was not responsible for the Medicaid beneficiary’s death, but she did try to take advantage of the situation.) Skybluewater Keys, 44, of Buckhannon, admitted...

A Losing Hand

Latisha Harron of Las Vegas, Nevada, has been sentenced after being found guilty of conspiracy to commit health care fraud, aggravated identity theft, and conspiracy to commit money laundering. Originally from Eastern North Carolina, Harron admitted to conspiring with her husband to defraud the North...

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