If the Shoe Fits

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Physical therapist placing kinesio tape on patient's foot

It ‘s no secret that most women love shoes. It ‘s not clear whether the woman in today ‘s “Fraud of the Day” had a shoe fetish, but she most definitely used her position as a store manager for a diabetic footwear store to defraud Medicaid of more than $900,000.

The former diabetic footwear store manager carried out her racket by submitting false claims to the government health care program for medical equipment that was not medically necessary, not prescribed by a physician or provided to the patient named in the claim. She used the proceeds from her illegal scam for her own benefit. (I wonder if she bought any new shoes with her take.)

The 52-year-old woman pleaded guilty to one count of health care fraud. She was sentenced to 41 months in federal prison and must serve three years of supervised release after her time behind bars is served. The former shoe salesman must also pay $948,361 in restitution and forfeiture. (The real kicker is that she may have to give up all the shoes in her closet and more to pay that enormous debt.)

This was not the Georgia woman ‘s first run-in with the law. Apparently, she has prior federal convictions including bank fraud, bankruptcy fraud and social security fraud. (So it looks like the fraud shoe fits and she ‘s going to have to wear it on those cold, hard concrete floors. My guess is she will be wishing she had a good pair of orthotics.)

 

Source: Today’s “Fraud of the Day” is based on an article entitled, “Savannah woman sentenced to more than 3 years in federal prison for Medicaid fraud,” published by Savannah Morning News on May 26, 2017.

A 52-year-old Savannah woman was sentenced to more than 3 years in federal prison this week for her role in a scheme to defraud Medicaid.

Barbara Wallace was sentenced to 41 months in prison and to serve 3 years of supervised release upon her release from prison, and to pay $948,361 in restitution and forfeiture, said Acting United States Attorney James D. Durham.

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Larry Benson
Larry Benson is currently the Director of Strategic Alliances for Revenue Discovery and Recovery at LexisNexis Risk Solutions. In this role, Benson is responsible for developing partnerships for the tax and revenue and child support enforcement verticals. He focuses on embedded companies that have a need for third-party analytics to enhance their current offerings.