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Health aide billed 3,400 hours of labor whereas he traveled overseas as an alternative, feds say

A home health aide from Maryland pleaded guilty to defrauding the Medicaid program, feds say.

A house well being aide from Maryland pleaded responsible to defrauding the Medicaid program, feds say.

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A house well being aide might serve years in jail after billing Medicaid for 1000’s of hours he by no means labored — inflicting this system to lose greater than $730,000, federal prosecutors say.

This contains 3,400 hours he spent touring internationally as an alternative of caring for residents in Washington, D.C., which he claimed he was doing on his submitted time sheets, courtroom paperwork present. As a consequence, Medicaid was billed $70,100 for companies the person by no means supplied as he took journeys to Europe and Africa.

The well being aide, of Lanham, Maryland, pleaded guilty to health care fraud on Monday, Nov. 28, after scamming the D.C. Medicaid program out of $733,405, which he has now agreed to pay again, the U.S. Attorney’s Office for the District of Columbia introduced in a information launch.

After billing Medicaid for hours he by no means labored, he was instantly paid $396,155 between 2015 and 2021, in line with courtroom paperwork. He submitted false time sheets claiming to assist 17 D.C. residents with their private care, together with getting dressed, bathing, consuming and extra, prosecutors say.

The man will even pay again the $396,155, which was earned illegally, in a forfeiture cash judgment, in line with prosecutors. This comes after he admitted the cash is gone, courtroom paperwork state.

An lawyer representing the person declined a request for remark from McClatchy News..

He will possible be sentenced to greater than two years in federal jail, in line with the discharge.

The scheme

While the person was employed as a private care aide and a participant-directed employee, he didn’t work as a lot as he mentioned he did, in line with prosecutors.

One particular person he beforehand cared for advised investigators the person used to reach at his residence on weekends for eight hours a day, prosecutors say. However, “at one point, (he) disappeared” and by no means confirmed up once more, the criticism states.

Another resident he cared for advised regulation enforcement that the person was his residence well being aide for one yr and wouldn’t work on Christmas holidays, in line with the criticism.

But Medicaid claims information confirmed the person purportedly supplied care companies to the person “almost every day between November 2015 and September 2019, including on Christmas Day in 2015, 2016, 2017, and 2018,” the criticism states.

In addition to getting caught recording his time touring as work hours, the person billed Medicaid for twenty-four hours of labor he claimed to do in a single day — 156 separate instances, in line with the discharge.

For lots of of different days, the person submitted time sheets saying he labored greater than 16 hours in a day whereas caring for at the very least two Medicaid beneficiaries, in line with the criticism. But these time sheets had overlapping hours.

Since 2018, 12 former well being aides have pleaded responsible to defrauding Medicaid, together with the person, the discharge says.

In the U.S., about 82 million individuals are covered by the program.

Prosecutors ask those that could find out about somebody participating in well being care fraud to contact the Department of Health and Human Services’ Office of Inspector General hotline at 800-HHS‑TIPS (800-447-8477) or the D.C. Office of the Inspector General at 800-724-TIPS (800-274-8477).

Lanham, the place the person is from, is about 15 miles northeast of Washington, D.C.

Julia Marnin is a McClatchy National Real-Time reporter overlaying the southeast and northeast whereas primarily based in New York. She’s an alumna of The College of New Jersey and joined McClatchy in 2021. Previously, she’s written for Newsweek, Modern Luxury, Gannett and extra.

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