Thursday, December 8, 2022

Meaningful Consequences

Medicaid providers who steal from the government healthcare program by billing for services they don’t deliver eventually face severe consequences for committing Medicaid fraud. That is the message received (loud and clear, might I add) from federal prosecutors in Georgia who recently won major...

There’s Nothing Wise About Committing Fraud

Americans are all too familiar with the devastating effects of opioid abuse. On average, 130 Americans die every day from an opioid overdose, according to the federal Centers for Disease Control and Prevention. What is less known is the role Medicaid plays in that. Non-elderly people with opioid...

Facing Change

The owner of a Lewiston, Maine counseling agency named “Facing Change” is ironically facing a great deal of change in her own life after being convicted for committing Medicaid fraud. She used her mental health and substance abuse counseling agency to steal more than...

White Coat

White coats worn by healthcare professionals signify that they have the medical knowledge and authority to provide service to their patients. Whether a doctor, dentist, therapist, or lab worker, that white coat is a reminder that they are supposed to conduct their lives and...

Maybe They Won’t Notice

Medical advancements in recent decades have contributed to Americans living longer. The U.S. Census Bureau states that the number of people age 65 and older in the United States is just about 15 percent, increasing by 1.6 million people since 2014. (This correlates with...

Slowly but Surely

Scott Alexander Laney, 38, of Boise, Id., was sentenced for his role in a healthcare and aggravated identity theft fraud scheme that defrauded Medicare and Idaho Medicaid out of thousands of dollars. Laney’s scheme centered around the fraudulent delivery and payment of urine drug...

Not A Good Idea

The United States Attorney for the Eastern District of North Carolina says 46-year-old Shephard Lee Spruill II of Winterville, pleaded guilty to conspiracy to commit health care fraud, and perjury.

Alphabetical Order

Dental visits are usually met with trepidation. (It’s rare that you find anyone super excited to make the twice-yearly trek into the dentist office for a routine cleaning, x-rays and mouth cancer check). Under the guise of some much needed dental procedures, a Bucks...

Brace Yourself

Medicaid not only provides affordable medical coverage to adults, children, pregnant women, low-income families, and elderly and disabled individuals, but also dental and orthodontic treatment to eligible beneficiaries. Read on to find out how a New York orthodontist with 12 locations in Manhattan, Brooklyn, Queens, The Bronx...

New Manager Needed

Despite the coronavirus pandemic, courts are still in session and hearing cases. One of the cases the Indiana Northern District Court will be handing down a sentence for involves Suzi Gawel, who stands accused of defrauding Medicaid of hundreds of thousands of dollars. Gawel worked...

Get Your Fraud Fix!

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