12 charged in $87M Pennsylvania Medicaid fraud scheme

Twelve people working in home healthcare have been charged in an $87 million Medicaid fraud scheme in Pennsylvania.  

Advertisement

The 12 are accused of participating in dozens of fraudulent acts, including making false claims for services that were never provided, creating fake employees, improperly using consumers personal information and falsifying documents for audits in an effort to defraud the Pennsylvania Medicaid program.

In some instances, the indictment alleges that the defendants were working at other jobs or submitted Medicaid claims for patients who were hospitalized, incarcerated or deceased.

The defendants, Arlinda Moriarty, Daynelle Dickens, Julie Wilson, Tamika Adams, Tony Brown, Terry Adams, Terra Dean, Tionne Street, Keith Scoggins, Larita Walls, Tia Collins and Luis Columbie-Abrew,  all have been charged with conspiracy to commit healthcare fraud.

Four individuals — Ms. Moriarty, Ms. Dickens, Ms. Wilson and Ms. Tamika Adams — also have been charged with one count of concealing material facts, and three individuals — Ms. Moriarty, Ms. Adams, and Mr. Columbie-Abrew — also were charged with aggravated identity theft.

More articles on legal and regulatory issues:
13 latest healthcare industry lawsuits, settlements
CHS settles lawsuit against ex-CEO of Indiana hospital
California pharmacist faces abuse, privacy invasion charges after camera found in employee bathroom

At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.

Download Whitepaper

The cost-saving opportunity most health systems overlook

Many hospitals and health systems scrutinize staffing, service lines, and payer contracts for savings. Fewer look at one of their largest assets: real estate.…

Advertisement

Next Up in Legal & Regulatory Issues

Advertisement

Comments are closed.