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Operator of local residential nursing facility to serve 2 years in prison for health care fraud

Operator of local residential nursing facility to serve 2 years in prison for health care fraud StoryBlocks By: Web Staff and last updated 2021-07-05 19:40:20-04 NORFOLK, Va. - A Portsmouth man was sentenced on July 1 to two years in prison for defrauding the Virginia Medicaid program by submitting more than $188,000 in false claims for a residential nursing facility. According to court documents, 47-year-old Lopez Scott operated Turning Points Residential Care, a business authorized to provide residential support services and skilled nursing services to recipients of Medicaid. Between October 2016 and October 2019, records say Scott submitted numerous false and fraudulent claims to Virginia Medicaid, known as the Virginia Medical Assistance Program (VMAP), which misrepresented that 5,847.75 hours of skilled nursing services had been provided to a Medicaid recipient.

U S Attorney Scott Brady and Pennsylvania Attorney General Josh Shapiro announce indictment in nursing home investigation

PITTSBURGH The former administrator of a Mount Lebanon skilled nursing home has been indicted by a federal grand jury in Pittsburgh on charges of conspiracy to defraud the United States, health care fraud and obstruction of a federal audit, United States Attorney Scott W. Brady and Pennsylvania Attorney General Josh Shapiro announced today. The three-count Indictment, returned on February 24, 2021, named Susan Gilbert, of Lawrence, Pennsylvania, as the sole defendant. These criminal charges represent the first step in holding accountable those who put profit over the health and safety of seniors, said U.S. Attorney Brady. From 2018-2020, Gilbert and co-conspirators deprived seniors of patient care using inflated nursing hours, falsified timecards and other schemes that they concealed with two sets of records. We will continue to pursue every lead until justice has been achieved for seniors and their families in western Pennsylvania.

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