Friday, January 21, 2022

Flying Under the Radar

Elizabeth Jones Powell pleaded guilty in to federal charges of health care fraud and tax evasion. After her prison term, she will be on supervised release for three years. She will also have to pay back more than $450,000 in fraudulent Medicaid claims and unpaid taxes.

Orthodontist found guilty of more than 1,800 cases of fraud

Imagine earning money for services never performed – and that came from public coffers. That's exactly what Dr. Richard Malouf did, according to Texas Medicaid investigators. Malouf, an orthodontist with several clinics in Dallas, falsely billed Medicaid for services that other doctors performed, some...

Misdiagnosed

An Institute of Medicine report estimates that 30 cents of every healthcare dollar are wasted in unnecessary healthcare costs, many related to misdiagnoses. (That adds up to about $750 billion a year.) A Powell, Wyoming psychologist committed Medicaid fraud by misdiagnosing patients with mental...

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,...

Modern Day Pirate

Pirates are generally known for making threats, kidnapping hostages, stealing treasure and committing murder on the high seas. While today’s fraudster didn’t threaten, kidnap or murder anyone, he did steal a small fortune from the government by committing $1.7 million in Medicaid fraud over...

Slowly but Surely

Scott Alexander Laney, 38, of Boise, Id., was sentenced for his role in a healthcare and aggravated identity theft fraud scheme that defrauded Medicare and Idaho Medicaid out of thousands of dollars. Laney’s scheme centered around the fraudulent delivery and payment of urine drug...

Sooner Rather than Later

The Oklahoma Land Rush of 1889 occurred when approximately 50,000 individuals lined up to claim their piece of two million acres of unoccupied public land across the state. Those who entered the designated area before the official start of the land rush were called...

Seems Like Forever

Criminals must be overly optimistic about their ability to carry out a fraudulent scheme, otherwise they wouldn’t be so bold in their attempts to commit crimes. However, if they would just stop for a moment and consider the consequences of their actions, there would...

A Cast of Unscrupulous Characters

As today’s fraud drama unveils, we see a cast of unscrupulous characters that include two brothers, an office billing manager, a licensed nurse practitioner, and an individual who is an expert at forging medical treatment notes (I didn’t know that was a “thing”.) The...

Mental Anguish

It’s deplorable when a mental health services business takes advantage of vulnerable patients to make a profit. That’s exactly what happened in today’s “Fraud of the Day” case which involves the co-owners of a Henry County, Georgia mental health services business. They committed Medicaid...

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