Motion Denied

New Medicare Card ++First one rejected for Copyright Trademark issues. Please let me know what I need to remove or alter. Is it the DHHS LOGO? Card design curve? Part of number shown? You accept Social Security cards with the same logo. This was accepted in 2018. iStock # 653549364. Just let me know how to get the new card accepted… thanks!++++

Bill Joe Taylor liked to do everything on his own it seems. He owned his own company consisting of multiple diagnostic laboratories and he apparently developed his own multimillion dollar health care scheme. And to top it off, he tried to be his own lawyer in court. Maybe, if he accepted some counsel offered to him somewhere along the way, he wouldn’t be facing up to 20 years in prison.

According to prosecutors, between February 2017 and May 2021, Taylor engaged in a scheme in connection with diagnostic laboratory testing, including urine drug testing and tests for respiratory illnesses during the COVID-19 pandemic that were medically unnecessary and ordered by medical providers who were present with patients. Taylor controlled and directed multiple diagnostic laboratories and used those labs to submit more than $100 million in false and fraudulent claims to Medicare. He received about $38 million in payments for the scheme. Eventually, someone in Health and Human Services began to question his claims and Taylor’s lavish life of real estate and luxurious automobiles came to an end when he was indicted in November of 2021.

But this fraudster wasn’t going down without a fight. After many changes in legal representation, he decided to do it on his own. On July 8, 2022, Taylor requested and was granted the right to represent himself in court. But despite getting his own desk and office chair to process all the evidence in the case, the six handwritten motions Taylor filed were denied and dismissed by the court. Taylor once again changed strategy and obtained legal counsel again. On October 27, 2022, Taylor pled guilty to one count of Conspiracy to Commit Healthcare Fraud and one count of Money Laundering.

Great job by Health and Human Services in this case.

Today’s “Fraud of the Day” is based on an article “Lavaca man pleads guilty to federal health care fraud charges Arkansas” published by NWA Democrat Gazette on October 28, 2022

A Lavaca man pleaded guilty Thursday to one count of conspiracy to commit health care fraud and one count of money laundering.

Billy Joe Taylor, 43, admitted from November 2017 to May 2021, he and co-conspirators submitted and received payment for thousands of Medicare claims totaling millions of dollars for lab tests never ordered by the referring medical provider nor done for the benefit of the patient on the claims, according to a news release from the U.S. Attorney’s Office for the Western District of Arkansas in Fort Smith.


Previous articlePrisoners and Deceased Need Not Apply
Next articleThe Reality of the REAL ID

Larry Benson, Senior Director of Strategic Alliances, LexisNexis Risk Solutions - Government

Larry Benson is responsible for developing strategic partnerships and solutions for the government vertical. His expertise focuses on how government programs are defrauded by criminal groups, and the approaches necessary to prevent them from succeeding.

Mr. Benson has 30 years of experience in sales and business development. Before joining LexisNexis® Risk Solutions, he spent 12 years founding and managing two software technology startups. During the 1990s he spent 10 years as a Regional Director helping to grow a New England-based technology company from 300 employees to 7,000. He started his career with Martin Marietta Aerospace working on laser guided weapons and day/night vision systems.

A sought-after speaker and accomplished writer, Mr. Benson is the principal author of “Fraud of the Day,” a website dedicated to educating government officials about how criminals are defrauding government programs. He has co-authored WTF? Where’s the Fraud? How to Unmask and Stop Identity Fraud’s Drain on Our Government, and Data Personified, How Fraud is Changing the Meaning of Identity.

Benson holds a Bachelor of Science in Physics from Albright College, and earned two graduate degrees – a Master of Business Administration from Florida Institute of Technology, and a Master of Science in Engineering from Lehigh University.