Monday, February 6, 2023

Good Riddance

The Federal Trade Commission (FTC) estimates that as many as 9 million Americans have their identities stolen each year. In 2020, the Insurance Information Institute noted that approximately 1,660 Puerto Ricans alone had their identity stolen. (In one year, mind you.) One of those...

That’s the Way the Ball Bounces

In the state of Oklahoma, Medicaid pays for behavioral health rehabilitation services that are designed to support and treat children and their families who are experiencing difficulties in their daily lives. The intent is to help them improve their lives through counseling by keeping...

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...

Fraudopoly

Jonathan Sumter claimed to be providing behavioral health services to disabled, low-income people. But it turns out that he actually used the stolen identities of people with disabilities to game the system and collect over $1 million in Medicaid funds. Fun game!  . Just...

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,...

Not So Happy at Home

Some people try harder than others to cover their tracks when committing fraud. (For those who don’t, it’s just a matter of time before they are caught.) That’s the case for the owner of an in-home personal care company in the Concord, New Hampshire...

Major Fraud Against Minors

Kids in foster care are among our society's most vulnerable and deal with untold loss. Sadly, they also are among our most targeted for fraud, as is the case in today's Fraud of the Day. The story, reported in the Elko Daily Free Press,...

The Music Is Over

Music has many associated benefits. It can lower your blood pressure and stress level, make you happier, enhance concentration, improve sleep quality, boost immune systems and, it can even reduce depression and anxiety. The former executive of a community health center in Camden, New...

Gross Negligence

Gross negligence can be described as the failure to exercise even the slightest amount of care. Jennifer M. Cote, 45, of Montpelier, Vt., was sentenced for Medicaid fraud and neglect of a vulnerable adult. Montpelier pleaded guilty in October 2019 for her role in...

Culture Shock or Shocking Fraud?

Listen to this Story The United States is far from alone in having government benefits programs, but immigrants must still navigate different customs and procedures here than in the countries of their previous residences. Inadvertent mistakes happen. So does...