According to the Ohio Auditor Dave Yost, nurse Patricia Fugate fraudulently billed the state’ s Medicaid for services not provided from 2009 to 2011. Nurse Fugate is an independent home health nurse who treats patients at their homes, and she operates as an independent business.
Allegedly, from 2009 to 2011 her records indicate that she provided services to many patients at the same time/day. Of the 998 services that she billed Medicaid for during this time, 112 of them overlapped with the same time. As the auditor pointed out, “A person cannot be in two places at the same time.”
Nurse Fugate had billed the state Medicaid system for more services than any other independent nurse in the state from 2009 to 2011.
The auditor alleges that Fugate deceived the taxpayers for $146,000 with fraudulent billing during this time. In response, the state has suspended her ability to receive payments from Medicaid.
It’s alleged that she responded to the complaint by telling the auditor that she did provide all of the services, but that she simply wrote down the wrong dates and times.
If the Ohio Department of Medicaid accepts the auditor’s findings, she will be required to pay the money back. She can appeal their decision as well. If she refuses to reimburse the state, the department may turn the case over to the Attorney General’s office to pursue.
This case reminds me of the Miami CNA that committed Medicare fraud that we just reported on.
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