Tuesday, April 20, 2021

Standing in the GAPP

There’s nothing more appalling in the home healthcare industry than a provider who takes advantage of vulnerable patients, particularly children. Today’s “Fraud of the Day” details the alarming actions of Medicaid fraudster Diandra Bankhead, the former owner-operator of Elite Homecare in Atlanta, Ga. She...

All Bets Are Off

Fraudsters tend to gamble with their chances of getting caught and usually push the envelope. One Las Vegas, Nev., fraudster hedged her bets and is now facing up to three decades in prison for her role in a Medicaid billing scheme. (I bet she’s...

Sweet Home Alabama

Medicaid is a state-run insurance program intended to help individuals and families afford health insurance when they may not otherwise be able to. The Medicaid program is also seen as a lucrative target for fraudsters looking to defraud government programs for their own benefit. An...

Another One Bites the Dust

The most common perpetrator of healthcare fraud is usually someone working within the profession who has access to sensitive patient information. This includes, but is not limited to doctors, nurses, medical sales representatives, and pharmacists. An Arlington, Va., man recently pleaded guilty to his...

The Poor and Weary

Fraudsters seek to exploit groups of individuals who are perceived as being most susceptible to their schemes. This includes targeting the elderly, low income individuals, those with disabilities, and anyone else they see as “easy” to manipulate. A Texas man is the ringleader behind a...

Gambling with Others’ Futures

A Rhode Island resident has been convicted of Medicaid fraud and ordered to pay $21,797.61 in restitution to the state of Rhode Island. Brian Mooney pleaded no contest in Kent County Superior Court to one count of Medicaid fraud and seven counts of exploitation...

Aiding and Abetting

Medicaid is a state-run health care insurance program intended to aid low income individuals and families, not fraudsters. Beneficiaries can use this health insurance program to cover things such as doctor’s appointments, medical treatments, and home health care. Fraudsters frequently target the government healthcare...

Brotherly Love

A North Carolina man has been sentenced to five years in prison, followed by two years of supervised release, for his role in a scheme that stole millions from Medicaid. Jerry Taylor was found guilty of defrauding Medicaid as well as federal tax evasion. His...

Hoverboarding to Prison

A dentist from Anchorage has been sentenced to 12 years in prison for defrauding Alaska’s Medicaid program. Seth Lookhart was investigated after a video of him went viral on the internet which showed him extracting a tooth from an unconscious patient while riding a...

Cutting Off the Blood Supply

Medicaid is jointly funded by the Federal Government and the states, but each state operates its own Medicaid program within federal guidelines to provide health care coverage to those with lower incomes and resources. Sadly, the government healthcare program is often targeted by fraudsters...

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