Corporate Compliance

Three arrested for $112,000 Medicaid fraud scheme

Compliance Monitor, September 23, 2009

The Medicaid Fraud Control Unit arrested three Florida residents for allegedly conspiring to defraud the Medicaid program of more than $112,000, according to a Department of Justice (DOJ) release.
 
Frederica Hill worked at Interim Home Health Agency as a licensed practical nurse providing more than 40 hours a week to a Medicaid recipient. Cathy Summerlin, the mother of Frederica Hill’s patient, made a verbal agreement with Frederica Hill to falsify service records showing that she was providing care services to Summerlin’s son.
 
The scheme had Summerlin forge service logs for Frederica Hill, who would then submit the logs to her employer for Medicaid reimbursement. This arrangement lasted from January 1, 2005 through December, 2008, according to the release.
 
Frederica Hill’s husband, Larry Hill, allegedly made payments to Summerlin for her participation in the scheme. Larry Hill is charged with Medicaid provider fraud and conspiracy to commit Medicaid provider fraud. If convicted, he faces up to 10 years in prison with $10,000 in fines.
 
Summerlin and Frederica Hill are both charged with Medicaid provider fraud, organized fraud, communications fraud, neglect of a disabled adult, and conspiracy to commit Medicaid provider fraud. If these charges stand, Summerlin faces up to 50 years in prison and $30,000 in fines. Frederica Hill is also charged with grand theft and, if convicted, faces up to 80 years in prison and $40,000 in fines.

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