Not Exactly a Brainiac

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10269592 - injured male hand with upper part of body. hand is bandaged with red plaster focus set on thumb

Brainiacs often appear in children’s cartoons or superhero movies and play the part of someone who is extremely intelligent, but somewhat maniacal. A Kansas man, who provided home health services to patients with traumatic brain injuries (TBI), did not appear to have any maniacal tendencies, however, he did act unintelligently when he committed more than $13,000 in Medicaid fraud by two-timing the government healthcare program.

 According to the Centers for Disease Control and Prevention, 1.5 million people in the United States suffer from TBI annually. Another shocking statistic is that 5.3 million people live with disabilities caused by TBI such as car accidents, firearms and falls – the top three causes of the condition. Fortunately, there are government programs that can assist individuals who have sustained a TBI, providing services that can allow those who are injured to stay in their homes and live as independently as possible.

That’s where today’s fraudster comes in. The man from Kansas provided home care serves to individuals with TBI and billed Medicaid for time. There’s nothing wrong with that, except he was actually working another job at the same time he was billing Medicaid. (The government doesn’t like fraudsters or two-timers, and in this case, they were one in the same.)

The 33-year-old home care provider was found guilty of Medicaid fraud and was ordered to serve one year of probation with an underlying sentence of five months in the Kansas Department of Corrections. He was also ordered to repay $13,077.22 to the Kansas Medicaid program for the bills he submitted over an 18-month period. (He may also be prohibited from receiving wages from a government healthcare program.)

Just like a person who experiences a TBI, one moment they are normal and the next moment, their life has abruptly changed forever. The same is true for this criminal. One moment, he was taking advantage of vulnerable people to make extra money he did not deserve, and the next moment, he had a criminal record. Just like that, he affected all aspects of his patient’s life by not making sure they received the care deserved. (Because of his criminal actions, his life will never be the same either.)

Today’s “Fraud of the Day” is based on an article entitled, “Jury: Kansas man must repay $13K to state Medicaid Program,” posted on HaysPost.com on October 1, 2017.

TOPEKA – A Kansas man was ordered today to repay more than $13,000 to the Kansas Medicaid program after being found guilty of Medicaid fraud, according to Kansas Attorney General Derek Schmidt.

Jasmon Watson, 33, was found guilty in March of one count of Medicaid fraud by a Wyandotte County jury. Judge Bill L. Klapper today ordered Watson to repay $13,077.22 to the Kansas Medicaid Program. Judge Klapper also sentenced Watson to 12 months of probation with an underlying sentence of five months in the Kansas Department of Corrections. Convictions such as this one may 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.