Medicaid Fraud

The film The War of the Roses follows a wealthy couple with a seemingly perfect marriage that turns into an outrageous and bitter divorce battle. The film is peppered throughout with brilliant quotes from actor Danny DeVito serving as the movie’s narrator. He starts...

Djonibek Rahmankulov laundered money for a living. He operated a network of shell companies that were used to launder criminal proceeds from multiple types of criminal activity. And he made millions of dollars doing it. Beginning in 2017, Rahmankulov worked with computer hackers who would...

The Office of Inspector General for the U.S. Department of Health and Human Services (HHS) keeps a public list of those it has barred from receiving any payment from its programs. This list of exclusion has grown to more than 14,000 individuals and entities since...

From September 2015 through September 2018, KBWB Operations received more than $142 million from Medicare and Medicaid, with the expectation that they would provide adequate care and resources for twenty-four skilled nursing facilities called Antrium Post Acute Care, throughout Wisconsin and Michigan. Which might...

Deandre Horne was a accomplished fraudster by the time the pandemic came around. So the well-developed skills of stealing and lying that Horne had mastered were easily transferable to the fraud opportunities that the Covid-19 Cares Act offered. No industry is safe from fraud! From...

To lie about patient care is one thing, but to empower the patient to help with the lie is a whole different level of fraud. On February 2, 2023, Marianna Levin was sentenced to 54 months in prison for defrauding Medicaid funds which resulted...

Today, we are going to do something a little different by highlighting how to use urinalysis as a fraud tool. Brought to you compliments of Donald Booker. Booker owned a urine toxicology testing laboratory along with a mental health and substance abuse treatment facility...

Jonathan Sumter claimed to be providing behavioral health services to disabled, low-income people. But it turns out that he actually used the stolen identities of people with disabilities to game the system and collect over $1 million in Medicaid funds. Fun game!  . Just...

Sharon Johnson was the owner of a company approved to facilitate and provide home-healthcare aid for Medicaid-reimbursed services in a group home. A group home which happened to be her house. A 1,325 square foot home. While this seems cramped for full time Medicaid...

St. Gabriel Health Clinic, of Baton Rouge, Louisiana, was a federally qualified health center (FQHC), contracted with the Iberville Parish School Board, to provide healthcare services to Medicaid recipients within the school district. As a FQHC, St. Gabriel could provide primary care services to...