Saturday, April 17, 2021

Cross-country Fraud Deal Gone Bad

The illegal sale of controlled substances can be linked directly to the prescription drug epidemic the nation is currently facing. While prescription pain medicines are supposed to be carefully prescribed and regulated, mismanagement by healthcare professionals can easily go unnoticed, especially when they enlist...

Addicted to Fraud

Psychiatrists are supposed to help those in need of mental health services but some take advantage of their patients’ frail states rather than fulfill their professional duties. One psychiatrist from Pennsylvania admitted to orchestrating a “pay for prescription” Medicaid fraud scheme. Lancaster local Bassam El-Borno,...

Fraud Consultants Inc.

People tend to enjoy their work more when they are close with their co-workers. Two Pennsylvania women have reinforced their close working relationship by becoming fraudsters and co-conspirators who were recently convicted for Medicaid fraud. (They got each other into a lot of trouble,...

COVID Feature: Misdirected Money

Millions of Americans have filed for unemployment benefits in recent months due to the Coronavirus pandemic. One of the states that has been hit the hardest is Pennsylvania, where over 2.3 million residents have applied for unemployment benefits since March. U.S. Attorney William McSwain of...

Tarnished Reputation?

A Pennsylvania lab is distancing itself from its former CEO--a Medicare fraudster--as it expands its Medicare-backed services to COVID-19 testing. (No company wants to be associated with their rotten apples.) MHS Labs in Monroeville received state and federal approval to begin COVID-19 testing despite...

Repeat Offenders

It is interesting to examine the rate of recidivism, or the tendency for a convicted criminal to become a repeat offender. According to a special report by the U.S. Department of Justice, 68% of released prisoners were arrested within three years, 79% within six...

Targeting COVID-19 Fraud in Pennsylvania

There’s no emergency sufficiently dire nor human tragedy great enough to deter scammers from trying to cash in on them. That’s evident in the growing variety of COVID-19 fraud schemes being concocted and promulgated across the country as government and citizens battle the spread...

Two Plead Guilty in $87 Million Home Health Fraud

Two Pennsylvania women are the latest to plead guilty in a Medicaid fraud scheme that has 16 people facing prison sentences and hefty fines for collecting reimbursements on services not performed. Terra Dean, 46, and Larita Walls, 57, could receive as much as 20 years...

“Ghost” Employee; Real Scam

A Pennsylvania Personal Assistance Services director pleaded guilty to participating in a massive Medicaid fraud scheme. His plea included one count of conspiracy to defraud the Pennsylvania Medicaid program and one count of healthcare fraud. Keith Scroggins, who worked for Moriarty Consultants, Inc., submitted fraudulent...

Con Costs

One of the most common methods of healthcare fraud comes from healthcare workers billing insurance programs for services that are never delivered. What people may not realize is just how stiff the penalty can be in these cases. One of the latest cases of in-home...
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