Friday, August 12, 2022

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...

Taken on a Ride

Medicaid covers eligible beneficiaries who need a ride to a doctor’s appointment, hospital or other medical office. (Obviously, the destination must be an approved provider and drivers are only supposed to transport patients to the medical appointment then back home, with no unnecessary stops in between.)...

Patient Dumping

When hospitals or other medical care facilities release patients to the streets instead of putting them in touch with proper social services it’s called patient “dumping.” (You may remember this recent case of a woman who was spotted wandering a Baltimore street in only...

Costly Cure

A former clinical pharmacy manager from Jonesborough was sentenced to 16 months in federal prison for healthcare fraud, which resulted in at least a $4.4 million loss to TennCare.

Bad Things that Happen in Parking Lots

Christine Hicks Thomas, 62, of Murfreesboro, faces up to five years in prison as well as $25,000 in fines and three years of supervised release. As part of her plea agreement, she has agreed “to surrender her nursing license, to surrender any interest she has in companies that bill the government for health care services, and to be permanently excluded from Medicare and Medicaid programs.”

With Open Arms

A Glen Allen, Virginia woman is the focus of today’s “Fraud of the Day” article for opening her arms wide to fraud. While the connotation of open arms means that someone or something is welcomed and accepted, this Richmond-area owner of three family counseling...

The Wrong Words

The “About” section of today’s fraudster’s business website states that, “She had discovered a unique and impactful way to empower people and change their lives for the better.” (It should really read, “She used her patients to change her life for the better, not...

A Bitter Pill to Swallow

Speech-Language Pathologists, who are also called speech therapists, work with children and adults to prevent communication and swallowing disorders. (Reasons for treatment can include stroke, brain injury, hearing loss, developmental delay, Parkinson’s disease, a cleft palate, or autism.) While speech therapists help their patients...

Your Diagnosis: A Complete Lack of Shame

If you frequent this website, you know that there are some pretty shameless fraud schemes out there. But of all the heartless schemes, profiting off cancer patients has got to be one of the very lowest. Today’s fraudster funded his life of luxury with...

The Medicaid Money Pot

Medicaid Fraud Control Units (MFCU) investigate and prosecute provider fraud, as well as elder abuse and neglect of our nation’s most vulnerable citizens. They go after criminals, like today’s fraudster, who submitted bogus bills to Medicaid for services she did not provide. The woman,...

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