Four Central Residents Arrested for Medicaid Fraud
Outcome
Official websites use .gov A .gov website belongs to an official government organization in the United States.
Details
Four Central Residents Arrested for Medicaid Fraud — $47,000 Settlement
Outcome: Official websites use .gov A .gov website belongs to an official government organization in the United States.
Official websites use .gov A .gov website belongs to an official government organization in the United States.
Secure .gov websites use HTTPS A lock ( Lock A locked padlock ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.
TALLAHASSEE, Fla.-Attorney General Pam Bondi's Medicaid Fraud Control Unit, the Apopka Police Department, and the Winter Springs Police Department today arrested Anayanzi Carrington-Simpson, Danyel Hancock, Shanqual Marshall-Gunn, and Kristina Mineo for Medicaid fraud. The defendants were employed by Second Chances TCM, Inc. and allegedly billed the Medicaid program for more than $47,000 worth of targeted case management services that were fraudulent or not authorized. Targeted case management service providers (TCMs) are intended to assist Medicaid recipients who have a persistent and serious mental health disorder by linking them to community resources. According to the investigation, Marshall-Gunn, the owner of Second Chances TCM, Inc., paid kick backs to employees and clients for referrals. Carrington-Simpson, Hancock, Marshall-Gunn, and Mineo allegedly submitted claims for unauthorized services, duplicative services, and services which were not provided.
Read more on www.myfloridalegal.com
HHS Office of Inspector General
How Crucible Prevents This
Crucible's billing compliance controls enforce documentation-to-claims reconciliation, requiring clinical attestation before claims submission and flagging billing patterns that deviate from documented care delivery.
Don't let this happen to your organization. See how Crucible works.
See How Crucible Works