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Benefit Buffet

October 28, 2016 by  
Filed under Blog

Fraudsters tend to see government benefit programs as a smorgasbord serving up an abundance of free money. A business owner, who operated six substance abuse counseling centers in Oklahoma, received more than $1.5 million in Medicaid reimbursements she did not deserve.

It is reported that the mother started the counseling center because of her daughter, who struggled with alcoholism. In an article posted on KXII.com, she stated that she wanted to go to work every day with the goal of helping people. (Technically speaking, she helped herself gain access to government benefits, not people.)

The scam was carried out by altering dates and times of service and by double-billing under variations of the same name. She submitted claims to Medicaid stating she had provided services, when she was actually on vacation, or at a wedding or a funeral. Apparently, she also hired unqualified employees.

As a result of this woman’s illegal acts, she was able to obtain $1.5 million in undeserved reimbursements before a former employee blew the whistle on her scam. (The former business owner explained that an employee signed in under her name and submitted the claims to Medicaid without her knowledge.)

The judge didn’t buy the fraudster’s explanation and ordered her to pay back more than three times the amount she stole. In all, she owes $4.7 million in restitution and fines. Another related case is pending for a woman who worked for the former counseling center owner.

This fraudster obviously wanted to feast on free benefits, but it appears her eyes were too big for her stomach. Unfortunately, she bellied up to the government benefits buffet too many times and now she has been left to pick up the check.

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