Wednesday, June 23, 2021

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...

What a Pile of Scrap

Fraudsters are always coming up with new and innovative ways to carry out their crimes, however, today's "Fraud of the Day" shines the spotlight on a North Carolina businessman who used a simple and oft used technique to hide his fraudulent acts. He thought...

The Joyride is Over

Luxury car commercials are famous for advertising vehicles with glossy wax jobs, sleek interiors and attractive drivers while speeding across beautiful terrain. (You can almost feel the wind in your hair followed by the shock of the sticker price.) According to an article in...

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.

Corrupt Care

There is a certain level of trust involved in committing to an assisted living facility (ALF), whether one is seeking care for him or herself, or they are seeking care for a loved one. Lists of questions arise during the search for an ALF,...

$2.2 Million in Food Stamp Fraud at the Local Dairy Mart

The local Dairy Mart (sounds like a dangerous hangout) isn't exactly where you would expect to find a major fraud case unfolding, but that's what authorities think was happening, according to a recent report from Channel 5's NewsNet.com. Federal agents arrested four people on...

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...

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,...

At Risk

There's no doubt that fraud puts the integrity of taxpayer-funded health care programs at risk. And when at-risk children are victimized in the process, you can bet that the government will not hesitate to go after those responsible for the crime. That's what happened...

Come on Down

To be successful at workers' compensation fraud, criminals must be experts in malingering – the act of faking a physical or psychological illness for personal gain. According to an article in The Week, a postal worker from North Carolina did a great job...
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