Saturday, May 15, 2021

In Jeopardy

If we were playing a game of Jeopardy with the category “Criminals” and this statement – “This Durham, North Carolina man put local college basketball player eligibility in jeopardy while simultaneously committing $4 million in Medicaid fraud”– the answer would be “ Who is...

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...

A Little Here, A Little There

Medicaid is the single largest payer for mental health services in the United States with nearly 12 million visits to U.S. hospital emergency departments. (These individuals had either a mental disorder, a substance abuse problem, or both.) Another shocking statistic from the U.S. Surgeon General claims that...

False Labor

False labor during a pregnancy can feel like a true contraction and tricks many mothers into thinking their baby is about to arrive. A Carolina Beach, North Carolina woman is the focus of today’s fraud article because she committed Medicaid Fraud while trying to trick at...

The Higher They Are, The Harder They Fall

Fraud can occur at all levels of an organization, but today’s case involving Medicaid fraud started at the top, went sideways, then worked its way down involving several unscrupulous individuals. The former president of a health practice in Greenville, North Carolina conspired with another...

A Bitter Pill to Swallow

Speech-Language Pathologists, who are also called speech therapists, work with children and adults to prevent communication and swallowing disorders. (Reasons for treatment can include stroke, brain injury, hearing loss, developmental delay, Parkinson’s disease, a cleft palate, or autism.) While speech therapists help their patients...

Peace of Mind

It is estimated that 65.7 million informal and family caregivers provide care to someone who is ill, disabled or aged in the United States. These Americans have to balance the demands of work, home, kids and caring for a loved one who needs assistance....

Just Trying to Help Out

Two Winston-Salem men were convicted this week on federal charges that they committed more than $1 million in health care fraud through a company they started in Jacksonville, Florida.

Bad Things that Happen in Parking Lots

Christine Hicks Thomas, 62, of Murfreesboro, faces up to five years in prison as well as $25,000 in fines and three years of supervised release. As part of her plea agreement, she has agreed “to surrender her nursing license, to surrender any interest she has in companies that bill the government for health care services, and to be permanently excluded from Medicare and Medicaid programs.”

Not A Good Idea

The United States Attorney for the Eastern District of North Carolina says 46-year-old Shephard Lee Spruill II of Winterville, pleaded guilty to conspiracy to commit health care fraud, and perjury.
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