Thursday, December 2, 2021

Not So Happy Family

Wali Muhammad, 46, of Connecticut has been sentenced for Medicaid Fraud. Between 2010 and 2019, he owned and operated Happy Family Clinical Services LLC, a mental health and social services agency located in New Haven since 2014. (I’m guessing his family is not so...

A Gentle Nudge

Keyana Lanice Jamill Carter, 29, of Nevada has been found guilty of Medicaid fraud. Carter was sentenced for billing clients for Medicaid services that she did not provide. (That’s one of the oldest Medicaid fraud scams in the book.) Carter admitted to submitting the falsified...

Bye Bye, La La Land Scam  

The last of a quintet of scam-prone California medical professionals has pleaded guilty to conspiracy to commit healthcare fraud. Five medical professionals at Los Angeles Community clinic concocted a scheme that resulted in $8.4 million in fraudulent Medicaid claims. The criminal team made $6.6...

Changing Directions: Headed Straight to Jail 

Two Maryland women have been sentenced after committing Medicaid fraud. Sasha Saunders, 42, and Diane Jordan, 48, were found guilty of billing Medicaid using stolen identities.    Saunders worked as the founder and president of two mental health and substance abuse treatment programs. Jordan was the vice president of the same companies – Changing Directions, Inc. and HEAL Inc. (Perhaps the women should have tried...

No Time to Waste

A West Virginia woman has been sentenced for her role in a Medicaid fraud scheme involving a deceased beneficiary. (Thankfully, she was not responsible for the Medicaid beneficiary’s death, but she did try to take advantage of the situation.) Skybluewater Keys, 44, of Buckhannon, admitted...

A Losing Hand

Latisha Harron of Las Vegas, Nevada, has been sentenced after being found guilty of conspiracy to commit health care fraud, aggravated identity theft, and conspiracy to commit money laundering. Originally from Eastern North Carolina, Harron admitted to conspiring with her husband to defraud the North...

Lower Than the Lowest Fraudster

Abuse of government healthcare beneficiaries is beyond despicable, particularly when the victims are vulnerable adults who are unable to defend themselves, remove themselves from the facility in which the abuse is happening, or even report it. Unfortunately, those circumstances apparently provided a perfect opportunity...

Small-Time Schemer Avoids the Big House

As the nation’s public health insurance program for people with low incomes, Medicaid provides coverage for about one in five Americans. (Many of these vulnerable individuals need costly care.) Even relatively small-scale fraud diverts money that is sorely needed to provide healthcare to those...

Many Chickens Come Home to Roost

One South Dakota fraudster is having a bad spring. Holli Telford Lundahl of Oelrichs, South Dakota was found guilty on May 6 of three counts of health care fraud and two counts of aggravated identity theft, committed as part of three schemes to defraud...

Feloniously Ever After

It’s the typical fraud love story. Girl (felon) meets boy (felon), boosts an existing Medicaid fraud scheme, collects millions, and lives happily ever after. It’s a happy ending only if you omit the part where they get caught, plead guilty, forfeit the fraudulently obtained...

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