Adult Supervision

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Geriatric doctor (geriatrician) consulting and diagnostic examining elderly senior adult patient (older person) on aging and mental health care in medical clinic office or hospital examination room

Sometimes adults need care and supervision during the day. Whether it’s senior citizens or disabled citizens, adult day care centers can provide enjoyment, entertainment and companionship. Today, we take a look at the former owner and operator of two adult day care centers in San Antonio, Tex. She currently awaits sentencing following her guilty plea involving Medicaid fraud.

The 52-year-old owner and operator of the two San Antonio-based adult centers carried out her Medicaid fraud scheme over eight years by submitting fake bills to three Medicaid Managed Care Organizations. She submitted claims for services that were never provided to the Medicaid beneficiaries who visited her centers.

The woman also admitted that she served as a designated representative payee for Social Security benefits. Instead of distributing those benefits to the rightful owners, she kept the money for herself.

In what seems to be the only smart move that this woman has made in a long time, she agreed to pay full restitution on all the charges against her. When sentenced, she faces up to a decade in federal prison for health care fraud, 20 years for wire fraud and up to another decade for theft of government funds. (From now on, I’m sure the Department of Justice will provide the appropriate adult supervision this fraudster needs to prevent this type of fraud from occurring again.)

Today’s Fraud of the Day comes from an article, “Former adult day care owner stole benefits from Social Security recipients, DOJ says,” posted on KSAT.com on March 2, 2020.

SAN ANTONIO – A woman who previously owned and operated two Scherry’s Adult Day Activity centers in San Antonio pleaded guilty Monday to federal charges in connection with a scheme in which she stole from Social Security recipients and fraudulently billed Medicaid for services not rendered, Department of Justice officials said.

Scherry Lynn Moses, 52, admitted that she fraudulently billed Amerigroup of Texas Inc., Molina Healthcare of Texas Inc. and Superior Health Plan Inc. for services that were never rendered to Medicaid recipients, officials said.

 

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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.