It doesn’t matter how far down the food chain you are in a fraud scheme, if you get caught you’re going to have to face the consequences. A couple in Elizabeth, New Jersey just realized how true this is after admitting to their roles in a coordinated effort to bill Medicaid millions for home health care services that were never done or performed.
According to authorities, the fraud scheme involved two New Jersey home health care agencies, where the principal executives had individuals who had other jobs sign time cards saying they had worked as home health aides. The wife in this scenario did perform services as a home health aide through 2013, but signed off on time sheets under other individuals’ names, receiving cash payments from those individuals. (Guess the allure of “free” money was more tempting than actually working for it.). She also billed for services that were not rendered at all and convinced patients to sign off on paperwork they knew was false. So, what was the husband’s role in the process? Well, he served as the “chauffeur,” driving the wife to and from jobs knowing that it was for fraudulent purposes. (Wonder if he received any tips for good service?)
The attorney for the wife acknowledged her guilt, but called her “a worker bee,” while the husband’s attorney called him “the lowest man on the totem pole.” Although both avoided prison time for their low-level participation, they did receive three years probation, with the wife getting an additional four months of home detention. They also have to pay joint restitution of $223,702. (Now that’s a lot of honey…I mean money.)
So, what happened to the queen bee in this hive of fraud? She was recently sentenced to five years in prison for bilking the government out of $7 million.
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