Two Timing

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When someone is said to be ”two-timing,” it usually means that one person is cheating on two people at the same time without either of them knowing about each other. According to an article published by PublicOpinionOnline.com, a Pennsylvania caretaker committed Medicaid fraud by two-timing the government. (The fraudster submitted duplicate time sheets to two separate companies for payment.)

The story reports that a caretaker falsely recorded the number of hours she spent helping at least one woman. The woman who needed care was supposed to be reporting the worker’s hours; however, the fraudster submitted her own timesheets through two different reporting systems. The timesheets showed that there were overlapping hours recorded for multiple patients, all at different locations. (As a result, she was paid more than $2,000 for services she did not provide.)

The 49-year-old woman pleaded guilty to one count each of felony Medicaid fraud and theft by deception. She was sentenced to one year of probation for each count, which will run concurrently. The fraudster was also ordered to pay $2,397.07 in restitution plus fees of more than $800. She is barred from participating in the Medical Assistance Program for five years and must complete any programs deemed necessary by the court. (How about barring participation from the government benefits program forever?)

It’s pretty evident that the government doesn’t take kindly to being two-timed. Fortunately, this criminal was stopped from inflicting further damage on the program that is intended to help those who qualify for and deserve assistance. (If she knows what’s good for her, she’ll never jilt the government again.)

Source: Today’s ”Fraud of the Day” is based on an article titled, ”Waynesboro Woman Pleads Guilty to Medicaid Fraud,” written by Becky Metrick and published by PublicOpinionOnline.com on May 30, 2015.

CHAMBERSBURG – A Waynesboro woman pleaded guilty and was sentenced for felony Medicaid fraud during a hearing on Wednesday at Franklin County Courthouse.

Sandra D. Grisson, 49, was charged in early April by the Attorney General’s Office, for falsely recording hours that she spent as a caretaker for at least one person, including duplicate hours being reported to two companies.

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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.