Take Care

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Registered nurses (RNs) perform a variety of duties for their patients, including performing physical exams, taking health histories, giving medication, and taking care of wounds just to name a few. They are also responsible for understanding important health information and making critical decisions about patients under their care. Patients rely on RNs to take care of them and ease their situations, not victimize them. (That is definitely not in the job description.)An article posted on DaileyComet.com tells about an RN who took advantage of his patients by participating in a gigantic scheme to steal about $30.3 million from Medicare.

The male RN was employed by a home health company. While employed, he was responsible for assessing health status, initiating care plans, evaluating needs and providing nursing care for his patients. What he actually did was provide false recertification for patients under his care. He submitted paperwork to his home health care employer that included false medication changes, condition flare ups and documentation that stated his patients were homebound. (Because of his bogus reports, his patients were recertified so that they could continue to receive home health care.)

The RN was not alone in his efforts to defraud Medicare, but part of a $30.3 million scam that involved another 13 RNs indicted on the same charges. Incidentally, they worked for the same home health care company in Louisiana. (Where there is one fraudster, you can count on finding a few others nearby. News of free money travels fast.)

The 43-year-old RN pleaded guilty to health care fraud and faces up to 10 years in prison. He could also have to complete three years of supervised release following his prison term and be ordered to pay a $250,000 fine.

Perhaps this guy was a really good nurse in terms of providing health care, but he definitely failed when it comes to being ethical. He signed on to be a nurse who takes great care of his ailing patients, not a fraudster who victimizes and takes from those under his watch. Now, it’s time to thank the government for taking care of this fraudster and his 13 co-defendants.

Source: Today’s ”Fraud of the Day” is based on an article, ”Lockport nurse pleads guilty to healthcare fraud,” published by TheDailyComet.com on July 20, 2016.

A Lockport registered nurse faces up to 10 years in prison after pleading guilty today to health care fraud, the U.S. Attorney’s Office in New Orleans said.

Jeff Koon, 43, could also be ordered to pay a $250,000 fine and complete three years of supervised release after his prison term. U.S. District Judge Susie Morgan will sentence him Feb. 1.

Koon was among 14 people indicted in April in connection with about $30.3 million in Medicare fraud, U.S. Attorney Kenneth Polite said in a news release. The other defendants are from New Orleans and River Ridge.

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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.