Thursday, December 2, 2021

Cheap and Felonious

When a pivotal employee resigns, responsible business owners usually scramble to fill the vacancy with a well-qualified replacement. That didn’t seem to be much of a concern for the owner of Riverside Cytology Laboratory, based in Tell City, Ind., which tested pap smear slides...

These Numbers Don’t Add Up

A Louisville man has been sentenced to time in federal prison for failing to report nearly $1 million in income to the Internal Revenue Service and for defrauding Kentucky's Medicaid program. Hatem Kaisi, 52, previously pled guilty in court to three counts of filing...

Therapists, Heal Thyselves?

Former Florida residents Stephanie Lynn Fleming and Helen Elizabeth Storey of Waldorf, Md., were convicted of healthcare fraud conspiracy, healthcare fraud, and aggravated identity theft for a Medicaid scheme carried out in Storey’s North Florida Mental Health (NFMH) business in Tallahassee. Fleming was also...

A Fall from Grace

A Greensboro, N.C. woman has been sentenced after participating in a scheme that defrauded the North Carolina Medicaid program out of hundreds of thousands of dollars. Things started going south for this fraudster when she decided to misrepresent her business affairs. Pamela Grace Faulkner, 60,...

The Birth of a Fraudulent Scheme

A former Maricopa County, Ariz., assessor has been sentenced after pleading guilty to Medicaid fraud and forgery charges. Paul Peterson faced four separate charges in relation to his operation of a fraudulent adoption scheme. Petersen was first arrested in October 2019 for his role in...

Figuring on Fraud

Fraudsters typically don’t have the best math skills. April Lynn Brown, 47, of Las Vegas, Nev., was hoping that Medicaid auditors would not notice the nearly $500,000 she tried to illegally siphon from the government healthcare program. Unfortunately for her, they noticed her figures...

Double-booked

Folashade Adufe Horne, 51, of Laurel, Md., claimed she was in two places at one time on multiple occasions. These lies allowed her to steal more than $370,000 from the Washington, D.C. Medicaid program in a fraud scheme that occurred between January 2014 and...

Drugs, Weapons, and Fraud

Richard Stanton, 34, of Hope, Me., pleaded guilty in federal court to a laundry list of charges including possession of heroin with intent to distribute, possession of a firearm and ammunition by a prohibited person, and making a false statement in connection with health...

Testing, Testing, 1-2-3

No one likes medical tests, especially when it involves needles. Perhaps just as stressful would be a test for a sexually transmitted infection (STI). An Ohio doctor has pleaded guilty for her role in a Medicare and Medicaid kickback scheme that involved unnecessary testing...

Superman or Super Liar?

Donald McCoy, 54, of Murfreesboro, Tenn., was sentenced for his role in a scheme that led him to plead guilty in January 2020 to healthcare fraud, mail fraud, and money laundering charges. McCoy previously admitted in court to defrauding TennCare, Tennessee's state-run Medicaid program,...

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