$400,000 Dollars In Healthcare Fraud

“A nurse charged with federal health care fraud cost the District of Columbia’s Medicaid program approximately $400,000.

By Allie Jensen, Marketing –

We expect healthcare workers to be honest people with high integrity. But a recent news story reported a 53-year-old woman, who worked for a Maryland home healthcare company, had falsified her work hours. She recently pled guilty to a federal charge of health care fraud that cost the District of Columbia’s Medicaid program approximately $400,000.

For the past few years, she has helped disabled people in their homes with basic day-to-day tasks. She would then record her time on a spreadsheet and submit it to her superiors.

But for this young woman, money was her main concern and her patients were not. It was recently discovered that throughout this woman’s time working for this healthcare company, she submitted timesheets for work not performed. She actually didn’t visit with her patients, tend to their needs, or follow through with the daily tasks required for her job. She simply said she did.

For example, she stated on one of her timesheets that she spent 24 hours with one patient who needed her help. However, this was not the case.

In this case, the lie-detection technology EyeDetect would have easily detected this woman’s lies. Fraud is not a minor crime and the increased cognitive load exhibited by liars engaged in serious crimes can be detected by EyeDetect. EyeDetect measures changes in eye behavior to detect deception. EyeDetect could have detected the deception within this woman much sooner.

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Photo courtesy of Matthias Zomer.