No Work, No Pay

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One of the most essential parts of getting paid for work is showing up for the job. Apparently, one Kansas man forgot this basic best practice. KOAM-TV reports that a man was sentenced to one year of probation and must repay the Kansas Medicaid Program $7,000, all because he failed to show up and deliver the home health care services that he claimed. According to state reports, the reason that this man did not provide home health care services to his alleged customer was because he was working simultaneously at a different job in a different city. (I know that these days everyone claims they’re busier than ever and overworked, but I don’t know how this man thought he could legitimately claim that he was in two places at the same time.)

According to the story, the 53-year-old criminal in question pleaded guilty to one count of theft from the Kansas Medicaid Program. Although he was not sentenced to jail time (unless of course he violates his parole), he is ineligible to collect payments from Kansas’ Medicaid Program until his parole term is over. (Let this be a lesson to potential conspirators – if you try to make easy money off the government, you’ll be blocked from getting government health care benefits.)

This culprit’s crime was discovered by the investigative effort known as ”Operation No Show,” a cooperative initiative between the Attorney General’s Office and the U.S. Department of Health and Human Services Office of Inspector General. The operation investigates fraudulent billing to Medicaid for personal care services provided in Medicaid beneficiaries’ homes. Since the program’s inception, more than $342,000 has been returned to the Kansas Medicaid Program and the state’s taxpayers

Source: Today’s ”Fraud of the Day” is based on an article titled, ”Iola man ordered to repay $7,000 for Medicaid fraud,” written by News Release and published by KOAM-TV on Nov. 4, 2015.

IOLA, KANSAS –

An Iola man was ordered today to repay $7,000 to the Kansas Medicaid Program after pleading guilty to Medicaid fraud-related charges, Kansas Attorney General Derek Schmidt said.

Kim Alan Laymon, 53, pleaded guilty in September in Neosho County District Court to one count of theft. Judge Daryl Ahlquist today ordered Laymon to repay $7,000 to the Kansas Medicaid Program. Judge Ahlquist also sentenced Laymon to 12 months probation with an underlying sentence of seven months in prison. Convictions such as this one also result in a period during which the defendant is prohibited from being paid wages through a government health care program.

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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.