Saturday, December 10, 2022

No Assistance Needed

Jamie Aguilar, a Mexican national, was sentenced in Del Rio, Tex., to a 45-month prison term after pleading guilty to one count of Theft of Public Money. (No surprise here that another fraudster is not who they claim to be.) In May 2006, the 60-year-old,...

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...

It’s a Numbers Game

Medicaid fraud is common, and unfortunately more people than you would expect are convicted of participating in such crimes. In March 2022, Courtney Dunlap of Burlington, Conn., was sentenced to 57 months in prison, followed by three years of supervised release, for defrauding the...

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,...

Lacking Common Sense

What’s worse than a clinical psychologist trying to scam Medicaid? A clinical psychologist scamming Medicaid by targeting minors. Dr. Malik Muhammad, Ph.D., may have a doctorate in clinical psychology, but he was clearly lacking common sense when he attempted to defraud Virginia Medicaid of...

No Means No

Behavioral health providers serve individuals who need help with a variety of mental health and substance use needs. These services can be provided in settings from prevention programs to community-based and inpatient treatment programs. Janice Wrenn, formerly known as Janice Briggs, committed Medicaid fraud...

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...

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