Friday, January 21, 2022

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...

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.)...

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.”

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.

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...

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...

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...

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 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...

Just Trying to Help Out

Two Winston-Salem men were convicted this week on federal charges that they committed more than $1 million in health care fraud through a company they started in Jacksonville, Florida.

Get Your Fraud Fix!

Five days a week wake up to the most current fraud article in your mailbox.