Wednesday, June 23, 2021

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...

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...

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...

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...

Lurking Fraudsters

It’s back to school time and as children return to the classroom, it’s important to stay mindful of fraudsters who may be lurking around looking for a way to steal your child’s identity. The Federal Trade Commission reports that in 2016, 15,496 identity theft...

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...

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....

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...

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 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,...
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