Morrisey Targets Medicaid Fraud

West Virginia Attorney General Patrick Morrisey sent out a letter to House Speaker Tim Armstead and Judiciary Chairman John Shott prompting both to lead their chamber in enhancing the state’s battle versus Medicaid scams.

Senate Bill 500, if passed, would move West Virginia’s Medicaid Fraud Control Unit from the state Department of Health and Human Resources to the Attorney General’s Office. It extremely passed the Senate previously this month.

The letter highlights the drawbacks of the system as it is presently run. It likewise discusses the chance for development and monetary gain if the system were to be moved to the Attorney General’s Office.

” Taxpayer money is being diverted to spend for scams, waste, and abuse in our Medicaid system,” Attorney General Morrisey composed. “It’s time that the system that recuperates waste in the Medicaid program be separated from the department that makes the payments in the very first place.”. Visit our new website at www.medicaidfraudhotline.com.

The letter even more discusses that West Virginia recuperated $3.90 less per Medicaid enrollee than the nationwide average from 2010-2015. With over 400,000 enrollees, this indicates that West Virginia might have lost out on more than $16 million over a years.

The Attorney General is positive his workplace is well placed to repair those shortages. He composes his administration will run the system with higher performance and efficiency to the advantage of taxpayers.

Such success will guarantee funds gathered through the Medicaid Fraud Control Unit supply treatment for low-income citizens and households who legally need the help.

Nationally, 43 of 50 such systems are run by attorney generals of the United States.

Taos County Deputy Charged With Medicaid Fraud

TAOS– The New Mexico Attorney General’s Office has actually charged a Taos County deputy with 21 counts of scams, implicating him of billing the state’s Medicaid program for services he declared he supplied to a handicapped relative sometimes when he in fact was on task with the constable’s workplace.

Sgt. Ricky M. Romero, a not successful prospect for constable in the 2014 Democratic main election, deals with one count of Medicaid scams, 10 counts of perjury and 10 counts of falsification of files, inning accordance with a criminal grievance submitted Wednesday in a state District Court by a representative with the chief law officer’s Medicaid Fraud and Elder Abuse Division.

The problem declares Romero signed 10 time sheets and sent them with Options Home Care Inc., declaring he had actually offered “personal care services” to a handicapped relative in between April 2012 and September 2013. The time sheets were then used to costs Medicaid for the services.

But inning accordance with the problem, Romero was working for the constable’s department throughout the times when he declared to have actually been supplying take care of the relative.

Taos County Sheriff Jerry Hogrefe released a press release Wednesday revealing the charges.

” The accusations and charges are an outcome of an examination by the NM Attorney General’s Office,” the declaration states, including that Hogrefe “understood the examination and has actually complied with the detectives and supplied files upon their demand.”.

Hogrefe was chosen constable in 2014. He beat Romero and 6 other competitors in the Democratic main and dealt with a Republican challenger in the general election. Romero ended up sixth from the 8 Democrats in the congested main race.

Romero has actually been utilized with Taos County for over 16 years, the constable’s workplace press release states. It’s uncertain exactly what disciplinary action the workplace will take versus Romero. “Sheriff Jerry Hogrefe is not able to discuss exactly what work actions will be taken,” the declaration states, “mentioning he is not enabled by law to discuss workers matters.”.

In an interview with The Taos News on Wednesday afternoon, Hogrefe stated he will be carrying out an independent internal examination relating to the claims.

This story initially appeared in The Taos News, a sibling publication of The Santa Fe New Mexican.

Kentucky Doctor Found Guilty of Medicaid Fraud

SOMERSET, Ky. (AP)– A jury in Pulaski County has actually discovered a doctor guilty of getting payment from Kentucky’s Medicaid program for tobacco cessation therapy that he did not carry out.

Kentucky Attorney General Andy Beshear states in a press release that the circuit court jury discovered 58-year-old Dr. Ezekiel Akande of Somerset guilty recently of Medicaid scams and theft by illegal taking control of $10,000. Both charges are felonies.

Akande ran Somerset Regional Pain Center. The attorney general of the United States’s Office of Medicaid Fraud and Abuse dealt with Akande’s prosecution. It declared he billed Medicaid for therapy when the patient was a nonsmoker or a cigarette smoker who did not desire to give up cigarette smoking.

Akande confronts 5 years in jail. Sentencing has actually been set for April 21.