Tuesday, May 24, 2022

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,...

What Happened in Vegas

Lots of things happen in Vegas, but most people would probably prefer that their adventures, like those of Shonna Nicole Marshall, 52, from Las Vegas, Nev., not make the news. According to her indictment, Marshall was also known as Shonna Nicole McKnight, Shonna Nicole...

It’s All About the Details

Medicaid providers have two reasons for keeping track of the details regarding the care that they give to beneficiaries. Accurate documentation provides relevant and important facts that other care givers need to provide necessary medical services, and it’s the law. (When approved Medicaid providers...

Oldest Trick in the Medicaid Fraud Book

Fraudulent medical billing is one of the oldest tricks in the Medicaid fraud book. Dr. Ray Smith, a Spokane, Wash., mental health counselor, resolved allegations that he and his company, “A Brief Counseling Center,” also known as “Healthy Counseling Center” (“ABCC”) fraudulently billed the...

Toxic Fraud

Richard Graves, 49, of Greensboro, N.C., pleaded guilty to conspiracy to defraud the North Carolina Medicaid program and money laundering. He used his positions at United Diagnostic Laboratories (UDL), a urine toxicology testing laboratory, and United Youth Care Services (UYCS), a company that provided...

Medicaid Brigade 

A Pittsburgh, Penn., woman pleaded guilty in federal court to conspiracy to defraud the Pennsylvania Medicaid program. (Her rap sheet also included healthcare fraud and aggravated identity theft.) Tamika Adams, 45, was sentenced to prison, followed by supervised release, and a hefty restitution fee for her role...

Cornerstone of Fraud

Luis Angel Lozada, of Clayton, North Carolina, was the cornerstone of a healthcare fraud scheme that stole more than a million dollars from the North Carolina Medicaid system through the submission of false and fraudulent behavioral health claims. It is ironic that Lozada used...

A Story of Medicaid Fraud

Once upon a time, there was a woman named Elizabeth Storey, who owned and operated North Florida Mental Health (NFMH), a counseling center in Tallahassee, Fla. She employed a woman named Stephanie Lynn Fleming, who was a licensed mental health counselor. Together, these two...

Final Moments of Need

Hospice is a critical service for those who are approaching the end of life and their families or caregivers. That is why it is so egregious that a Georgia hospice owner, Nourolzaman Tucker, took advantage of her Medicaid patients by submitting fraudulent bills to...

Unqualified and Unprepared

Georgia resident Brenda Copeland owned and operated The Counseling and Training Center in Warner Robins. Despite not being authorized to run a group practice, Copeland was enrolled as an individual practitioner to provide mental health services to children. (Sounds like she needed to go...

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