Posts Tagged ‘Medicaid Fraud Control Unit’

Duval County Woman Sentenced to Six Years in Prison for Medicaid Fraud

April 15, 2013

Attorney General Pam Bondi announced today that Edna Lorraine Watkins, owner of Homecare Unlimited LLC, was sentenced to six years in state prison for submitting more than $400,000 in false claims to the Florida Medicaid Program. The State Attorney’s Office for the Fourth Judicial Circuit prosecuted this case, and Watkins entered pleas of guilty to Medicaid Provider Fraud and Grand Theft, both first degree felonies. In addition to the six years in prison, Watkins was ordered to repay the state $402,424 in restitution. (more…)

AG Announces the Arrest of Jacksonville HHA Owner for $400,000 in Medicaid Fraud

February 19, 2013

Attorney General Pam Bondi today announced the arrest of a Duval County woman accused of stealing more than $400,000 from Florida’s Aged and Disabled Adult Waiver Program. The Attorney General’s Medicaid Fraud Control Unit charged Edna Lorraine Watkins, 34, with two counts of Medicaid provider fraud and one count of grand theft. She is accused of billing Medicaid for services that were never rendered and billing for services to recipients who were ineligible for Medicaid. Some of the people to whom she claimed to have provided services were in jail at the time the services were supposedly rendered. (more…)

Vacant Jobs in Fraud Unit Cost FL Millions

January 4, 2013

By , Health News Florida

A press release on Thursday touted Florida’s Medicaid fraud- and abuse-fighting efforts last year, saying 437 pill mills were squashed and state taxpayers recouped nearly $50 million. What the release failed to mention was the significant decline in fraud cases and audit recoveries. (more…)

State Recovered $50 Million in Medicaid Fraud

January 4, 2013

By James Call, The Florida Current

Florida spent nearly $17 million fighting Medicaid fraud in a 12-month period ending June 30 and had a net recovery of $50 million. That’s according to the annual Medicaid Fraud and Abuse Report, released Thursday by Attorney General Pam Bondi and Agency for Health Care Administration Secretary Liz Dudek. The fraud investigations resulted in 69 arrests and warrants. (more…)

Medicaid Fraud: Crime, No Punishment

November 5, 2012

By Lilly Rockwell, Florida Trend

In September 2011, eight months into her job as Florida attorney general, Pam Bondi made her first visit to the Miami office of her agency’s Medicaid Fraud Control Unit. “I was appalled, shocked to learn that there were so many vacant offices, (with) lights out,” Bondi says. She says she was particularly disturbed that the Miami office wasn’t fully staffed given Miami’s reputation as a hotbed of Medicaid fraud. (more…)

Medicare Fraud Strike Force Charges 91 Individuals for $430 Million in False Billing

October 4, 2012

Indictments Include $230 Million in Home Health Fraud; Miami Agency Charged for Fraudulently Billing Medicare $74 Million

By publishing announcements about home health fraud, HCAF demonstrates its commitment to honest providers throughout the state by shining a spotlight on the dishonest providers, eager to provide hope and validation to the good and send a message to the bad actors that their days are numbered.

Medicare Fraud Strike Force operations in seven cities have led to charges against 91 individuals – including doctors, nurses and other licensed medical professionals – for their alleged participation in Medicare fraud schemes involving approximately $429.2 million in false billing, Attorney General Eric Holder and Health and Human Services (HHS) Secretary Kathleen Sebelius announced today.

“Today’s enforcement actions reveal an alarming and unacceptable trend of individuals attempting to exploit federal health care programs to steal billions in taxpayer dollars for personal gain,” said Attorney General Holder. “Such activities not only siphon precious taxpayer resources, drive up health care costs, and jeopardize the strength of the Medicare program – they also disproportionately victimize the most vulnerable members of society, including elderly, disabled and impoverished Americans.” (more…)

Attorney General Bondi Charges Home Care Agency Owner for $6,600 in Medicaid Fraud

September 24, 2012

By publishing announcements about home health fraud, HCAF demonstrates its commitment to honest providers throughout the state by shining a spotlight on the dishonest providers, eager to provide hope and validation to the good and send a message to the bad actors that their days are numbered.

Attorney General Pam Bondi announced that a Santa Rosa County resident was taken into custody and charged with one count of Medicaid fraud. Shannon Boyette, owner of Boyette Home Health Care, was taken into custody after an investigation by the Attorney General’s Medicaid Fraud Control Unit. (more…)

Attorney General’s Office Arrests Okaloosa County Resident for $270,000 in Medicaid Fraud

August 21, 2012

Attorney General Pam Bondi announced this week that an Okaloosa County resident was arrested and charged with three counts of Medicaid fraud for allegedly billing more than $270,000 for services under the Medicaid Developmentally Disabled Waiver Program. With the assistance of the Okaloosa County Sheriff’s Office, the Attorney General’s Medicaid Fraud Control Unit, took Victoria Walker, Executive Director of Abilities Center of Northwest Florida, Inc., into custody. (more…)

Medicaid Expanding Fraud Control Unit in South Florida

August 9, 2012
By James Call, The Florida Current

Florida’s Medicaid Fraud Control Unit is establishing an operational headquarters in south Florida as part of a crackdown on white-collar crime. James Mann, the unit’s deputy director, on Wednesday told the Medicaid and Public Assistance Fraud Strike Force that he is being reassigned to south Florida to run it.

“The majority of the fraud seems to be coming out of south Florida (so) the attorney general has asked us to put an emphasis on criminal prosecution in that area,” Mann said. (more…)

Florida Medicaid Fraud Control Unit Reports More Than $67 Million in Recoveries for 2011

March 28, 2012

The Department of Health & Human Services (HHS) Office of the Inspector General (OIG) reports that in fiscal year 2011, the combined expenditures for the State Medicaid Fraud Control Units (MFCUs) totaled $208.6 million, of which federal funds represented $156.7 million. The 50 MFCUs employed 1,833 individuals. (more…)