A Need for Respite

26578311 - male nurse pushing stretcher gurney bed in hospital corridor with male & female doctors & nurses & senior female patient in a wheelchair

Everyone needs a break at some point, especially primary caregivers of people who cannot care for themselves. This duty often falls on the shoulders of family members, who can become exhausted by their efforts. When some periodic relief is needed, a home health care company that provides respite care can be hired to provide temporary care for a loved one. An article in the Richmond Times-Dispatch tells about the owner of a Suffolk-based respite care business who took advantage of Medicaid recipients by billing for services her company never provided. (Home health care is often a target for fraud.)

The story states that the owner of the home health company filed approximately 385 false claims with the Virginia Medicaid program over a four-year period, representing services that were never rendered to 38 Medicaid beneficiaries. Medicaid paid her $294,713 for the false claims. (That averages $765 per claim.)

The 57-year-old woman pleaded guilty to healthcare fraud and was sentenced to two years and nine months in prison.

Caring for an ill relative can put an enormous amount of pressure on family members and other relatives who want to provide a caring environment for their ill loved one. Taking advantage of Medicaid recipients who deserve and have earned the right for respite care is a heinous crime. This fraudster scammed deserving beneficiaries so that she could line her pockets with money she didn’t work for nor deserve. In this case, however, the woman does deserve the prison sentence that she has received.

Source: Today’s ”Fraud of the Day” is based on an article titled, ”Suffolk Woman Gets 33 Months for Medicaid Fraud,” published by the Richmond Times-Dispatch on June 14, 2014.

NORFOLK — A Suffolk home health care services provider who pleaded guilty to defrauding Medicaid has been sentenced to nearly three years in prison.

Fifty-eight-year-old Angie L. Gilchrist was sentenced Thursday in federal court in Norfolk to two years and nine months for health care fraud.

Read More

Previous articleFamily-run Fraud
Next articleAll in Good Fun

Larry Benson, Senior Director of Strategic Alliances, LexisNexis Risk Solutions - Government

Larry Benson is responsible for developing strategic partnerships and solutions for the government vertical. His expertise focuses on how government programs are defrauded by criminal groups, and the approaches necessary to prevent them from succeeding.

Mr. Benson has 30 years of experience in sales and business development. Before joining LexisNexis® Risk Solutions, he spent 12 years founding and managing two software technology startups. During the 1990s he spent 10 years as a Regional Director helping to grow a New England-based technology company from 300 employees to 7,000. He started his career with Martin Marietta Aerospace working on laser guided weapons and day/night vision systems.

A sought-after speaker and accomplished writer, Mr. Benson is the principal author of “Fraud of the Day,” a website dedicated to educating government officials about how criminals are defrauding government programs. He has co-authored WTF? Where’s the Fraud? How to Unmask and Stop Identity Fraud’s Drain on Our Government, and Data Personified, How Fraud is Changing the Meaning of Identity.

Benson holds a Bachelor of Science in Physics from Albright College, and earned two graduate degrees – a Master of Business Administration from Florida Institute of Technology, and a Master of Science in Engineering from Lehigh University.