Tuesday, February 20, 2018
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Medicaid Fraud

Watch Out for Lemons

Today’s “Fraud of the Day” is based on an article entitled, “Hilliard area husband and wife sentenced for Medicaid fraud, money laundering,” published by The Columbus Dispatch. A Hilliard-area man who used his home-health company to defraud Medicaid and build a $932,000 luxury home apologized for his crimes as he was sentenced to four years in prison.

Wrong Turn

Today’s “Fraud of the Day” is based on an article entitled, “NM man sentenced in almost $2MIL health care fraud,” published by Albuquerque Journal. A New Mexico man was sentenced in federal court in Albuquerque to 30 months in prison and ordered to pay $1,218,165 in restitution for his role in defrauding Arizona health care benefit of almost $2 million.

Fraud is a Huge Gamble

Six home healthcare workers and patients were charged with making false statements to Medicaid regarding home healthcare services that were neither received nor provided. All of the Indictments involve allegations that the defendants made false statements in Medicaid timesheets that certain patients and workers provided or received personal care services when, in reality, the patients or workers were actually somewhere else.

Flying Under the Radar

Elizabeth Jones Powell pleaded guilty in to federal charges of health care fraud and tax evasion. After her prison term, she will be on supervised release for three years. She will also have to pay back more than $450,000 in fraudulent Medicaid claims and unpaid taxes.

Not a Coincidence

A judge has ordered a Canyon County man to complete three years of probation as part of his sentence for stealing approximately $13,000 in Medicaid payments by illegally billing Idaho for medical services regarding an adopted son.

The Honeymoon’s Over

Arkansas Attorney General Leslie Rutledge today announced the conviction of an Izard County woman for marrying a patient she was caring for, which would make her ineligible to be paid by the Medicaid program, and continuing to provide care.

Costly Cure

A former clinical pharmacy manager from Jonesborough was sentenced to 16 months in federal prison for healthcare fraud, which resulted in at least a $4.4 million loss to TennCare.

Abandoned

Arkansas Attorney General Leslie Rutledge announced the conviction of a Pocola, Oklahoma man for Medicaid fraud. Shawn Howard pleaded guilty in Pulaski County Circuit Court and was sentenced to five years in the Arkansas Department of Correction (ADC), with an additional 15 years suspended.

Poor Choices

Today’s “Fraud of the Day” is based on an article entitled, “Therapist receives 46-month prison sentence for fraud” published by Central Penn Business Journal. A judge sentenced a Lancaster County behavioral health consultant to 46 months' imprisonment for lying to her employer about prior Medicaid fraud convictions.

Not A Good Idea

The United States Attorney for the Eastern District of North Carolina says 46-year-old Shephard Lee Spruill II of Winterville, pleaded guilty to conspiracy to commit health care fraud, and perjury.

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