Thursday, December 8, 2022

Dialing for Medicaid Benefits

There are many organizations who use phones to raise funds to keep their programs up and running. They reach out to potential donors by calling for monetary support. Today’s “Fraud of the Day” explains how a woman and her son dialed into a New...

Elusive Fraudster Gets Caught

Fraudsters tend to think they will never be caught or prosecuted for committing a crime. They could not be more wrong. A Rutherford, Tenn., woman went on the lam to avoid being charged with TennCare fraud. She eluded law enforcement for a year and...

Dennis the Menace

Ibrahim Aksakal (aka Dennis), 50, of East Patchogue, N.Y., coordinated the transportation and birthing care of Turkish women who were fraudulently entering the U.S. using tourist and business visas. The women hid their pregnancies with the end goal of obtaining birthright citizenship and medical...

Adult Supervision

Sometimes adults need care and supervision during the day. Whether it’s senior citizens or disabled citizens, adult day care centers can provide enjoyment, entertainment and companionship. Today, we take a look at the former owner and operator of two adult day care centers in...

The Fruits of Fraud

The term ''fruits of labor'' refers to the results of hard work that yields benefits. For example, farmers toil long hours by tilling the soil, planting seeds, watering their plants and preventing pestilence from overtaking their crops. Their hard work and effort usually pays...

The Higher They Are, The Harder They Fall

Fraud can occur at all levels of an organization, but today’s case involving Medicaid fraud started at the top, went sideways, then worked its way down involving several unscrupulous individuals. The former president of a health practice in Greenville, North Carolina conspired with another...

Got Any Cash?

A Pikeville, Ky., man was sentenced to serve a lengthy 125 months in prison after being convicted in late 2021 of wire fraud and health care fraud. Eugene Sisco, III, 36, operated several medication assisted treatment (MAT) clinics in various counties across the state,...

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...

What a Quack

The American Psychiatric Association explains that psychiatrists are medical doctors who specialize in the diagnosis, treatment and prevention of mental, emotional and behavioral disorders. They can also help with the physical aspects of psychological problems and write prescriptions. (This can help bring restorative health to people who...

Gambling with Fraud

Listen to this Story When people choose to commit fraud they assume significant risk. The Lincoln Journal Star tells the story of a Lincoln, Neb., pharmacist who lost a record-setting gamble while failing to manage his risk. The pharmacist,...

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