Sunday, February 5, 2023

A Home Business

Sharon Johnson was the owner of a company approved to facilitate and provide home-healthcare aid for Medicaid-reimbursed services in a group home. A group home which happened to be her house. A 1,325 square foot home. While this seems cramped for full time Medicaid...

Dream House Built on Fraud

A lot of thought goes into designing a dream home. A couple of fraudsters put a lot of thought into the details of building their dream home and enjoyed living in it until authorities discovered they had used government funds to pay for their...

Medicaid Raid

Criminals are well aware that Medicaid fraud can be a serious money-maker, and they don't appear deterred by the consequences. A press release published by the U.S. Attorney General's office details how members of a Medicaid fraud ring in North Carolina would stop at...

Putting a Stop to Fraud

More than 2.1 million residents of North Carolina receive Medicaid benefits. (Just so you know, that’s about 20 percent of the state’s population.) The government healthcare program and taxpayers took a $900,000 hit when a Durham woman used her two mental health businesses to carry out...

Friends and Family

Friends and family worked together to pull off what is considered to be the largest case of Medicaid fraud in the state of Minnesota. The $7.7million heist involved two sisters who illegally set up home care companies, then stole from the government program that was supposed...

Gross Misconduct

People get fired for misconduct all the time. Some are simply disobedient, insubordinate, or don’t show up on time for work. Things get a little more serious when it comes to sexual misconduct and when corporate officers use the power of their position to...

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 End of a Fraudulent Career

Not all crimes lead to time behind bars. But, the alternative punishment for defrauding a government healthcare benefits program can be as equally devastating to the perpetrator’s life as jail. Today’s fraudster is a Stamford, Connecticut dentist who agreed to a settlement that resolves...

All Bets Are Off

Fraudsters tend to gamble with their chances of getting caught and usually push the envelope. One Las Vegas, Nev., fraudster hedged her bets and is now facing up to three decades in prison for her role in a Medicaid billing scheme. (I bet she’s...

Elusive Fraudster Gets Caught

Fraudsters tend to think they will never be caught or prosecuted for committing a crime. They could not be more wrong. A Rutherford, Tenn., woman went on the lam to avoid being charged with TennCare fraud. She eluded law enforcement for a year and...

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