Nurses are often underappreciated, with society forgetting the training, long hours and stressful situations that come with the territory of the job. In a profession that requires physical, mental and emotional strength, there is no room for error. According to a WorkersCompensation.com article, one Ohio nurse slipped up, leading to the downfall of her fraud scheme.
The Ohio Bureau of Workers’ Compensation (BWC) found a nurse making a fatal mistake in the practice of fraud. (Let’s pull out the bandages and crutches, folks; it’s a long fall from the top of a fraud scam.) To be eligible for workers’ compensation, one must be unable to perform required tasks at his/her job, as the result of an injury that occurred on the job. While this definition may seem simple, there are many people who both knowingly and unknowingly work at a job, while receiving workers’ compensation benefits. (One might think there is a miscommunication in the definition of eligibility as explained by the BWC – if it weren’t so simple.)For one Ohio nurse, the “miscommunication” about her eligibility proved to be blatant disregard for the situation, after she admitted to knowingly working as an in-home care nurse while receiving workers’ compensation benefits. But, how did officials discover her fraudulent behavior?
The BWC pulled a report from the Ohio Department of Job and Family Services, indicating a wage cross match. (Now it get’s interesting. Cue the heart monitor to go blank.) The report revealed the simultaneous occurrence of the fraudster’s earnings from a Columbus business and funds received from the BWC. (This is a big “no-no” in the world of workers’ compensation.)Court documents showed the fraudster had knowingly committed the fraud. The judge sentenced her to six months in prison, suspended for a year of community control and restitution in the amount of $11,157.03, plus court costs. (If an apple a day keeps the doctor away, what can we do to keep fraud away?)
It’s up to the BWC and similar agencies/officials to continue the fight against fraud. In training, they taught her CPR, in the real world, we teach her “JDF” (Just don’t fraud.)