Hungry for fraud

By   /   August 22, 2014  /   Comments Off on Hungry for fraud

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As senior citizens age, it becomes harder to prepare nutritious meals, especially if living on a limited budget. Fortunately, Medicaid provides home-delivered meals to qualified beneficiaries. An article posted on details the story of an Idaho-based, Medicaid-certified home-delivery meal provider that is in a bit of hot water over allegations that the company bilked the government program out of nearly $900,000.

The frozen-meal delivery company is being slapped with a lawsuit that claims the service knowingly submitted or caused to be submitted false and fraudulent claims through the Idaho Medicaid system. The lawsuit states that the company was submitting claims that were not in compliance with the Medicaid provider agreement. Further research revealed that the delivery service may have been billing for desserts. (Medicaid doesn’t pay for you to have your cake and eat it too.) In addition, they were supposedly billing for meals delivered to an excluded place of service, such as an assisted living facility. Also, the lawsuit claims that Medicaid was receiving bills for unauthorized meals. Lastly, meals were purportedly delivered to deceased recipients or to those who were hospitalized. (Now that leaves a bad taste in your mouth, doesn’t it?)

Remember that the meal-delivery company is presumed innocent and deserves its day in court. However, being accused of violating the False Claims Acts, which makes people and companies liable for defrauding government programs, is serious business. The company could incur damages as high as $2.6 million if found guilty.

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