Tuesday, October 26, 2021

Feloniously Ever After

It’s the typical fraud love story. Girl (felon) meets boy (felon), boosts an existing Medicaid fraud scheme, collects millions, and lives happily ever after. It’s a happy ending only if you omit the part where they get caught, plead guilty, forfeit the fraudulently obtained...

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,...

COVID Feature: Snowball Effect

A snowball effect is described metaphorically as a process that begins as something very small, but as it gains momentum, it becomes larger, more serious, and perhaps even dangerous or devastating. Rashawn Prioleau, 35, of Charlotte, N.C., triggered an avalanche when he allegedly engaged...

Long Way from Home

A Bethesda, Md., man was sentenced for his role in a scheme that defrauded the North Carolina Medicaid program out of more than $175,000. Christian Anthony Ekberg, 34, was an officer and minority shareholder of an out-of-state company that had a business partnership with...

Man Who Doesn’t Care Receives Fraudulent CARES Act Funds

The Coronavirus Aid, Relief and Economic Security (CARES) Act helps provide emergency financial assistance, including expanded unemployment insurance (UI) benefits to people suffering from the economic struggles of the COVID-19 pandemic. Joseph Ransome, 51, of Indian Trail, N.C., filed for and received unemployment benefits,...

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...

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...
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