A Chisago County resident was prominently featured in stories by metro news
outlets last year, describing her legal ordeal contesting end-of-life measures
for her 85-year-old husband. In recent months, though, the story has expanded
from a tale of human emotion to include alleged Medicaid fraud. Franconia
Township resident Lana Barnes, is facing seven criminal charges of theft by
false representation. She is accused of taking more than $100,000 from the
system designed to compensate attendants who provide care for the seriously ill
in their home. Barnes, (who turns 58 on Jan. 17) rather unceremoniously lost her
guardianship rights in early 2011 concerning her frail husband
Al.
The probate court reacted to Barnes having altered Al’s medical
care directive papers, omitting two pages of the 1993 directive when she
presented the papers to a hospital in December 2010. The statements omitted were
contradicting her assertions that he’d stipulated aggressive, life sustaining
care. The theft charges came March 2012 as a result of Chisago County Public
Health and Human Services staff and state officials in the Medicaid Fraud
Control Unit of the MN Attorney General looking into paychecks for Al Barnes’
personal care attendant (PCA). According to the criminal complaint Lana Barnes
intentionally mis-represented to Nurse Staffing Solutions that her son Fred had
provided personal nursing services for Al. Spouses are not permitted under
Medicaid to collect wages as a PCA.
Other family members may, however, qualify as a PCA. The problem was that the son
Fred, an over-the-road truck driver, was not at home on Quinlan Avenue but was
driving when his PCA timesheets claimed hours from Nurse Staffing Solutions. PCA
providers like Nurse Staffing Solutions, administer the attendants’
participation in the program and distribute wages to approved PCAs. The
complaint also alleges that Chisago County social workers were concerned that
some of the PCA hours submitted overlapped with when Al was hospitalized.
Medicaid does not cover costs for a PCA when the client is hospitalized. The
complaint alleges Barnes’ timecards covering about $22,000 in pay, between July
2009 and May 2010, coincided with Al’s hospital stays.
The complaint
declares that when the state investigator contacted Fred he said he had been
accepted as his father’s PCA in 2005. By 2006 he was driving truck, and his
mother managed all the paperwork relating to his father’s care. Fred denies
completing, signing or submitting any PCA time cards. He reportedly told the
fraud unit investigator he knew Lana Barnes was receiving his PCA paychecks and
he should not have let this continue, the complaint states. “Overpayments” based
on Fred’s trucking logs and company payroll records between Jan. 2007 to May 31,
2010 amounted to $100,973. Due to the complexities of this case and the amount
of the alleged fraud, Chisago County Attorney Janet Reiter said prosecution is
being handled by the state, in court proceedings in Center City.
Full Article and Source:
Franconia Resident Accused of Fraudulently Collecting $100,000 Plus in Personal Care Attendent
Salary
See Also:
Shocking Surprise in Al Barnes Case!
May be a common problem, but hard to detect.
ReplyDeleteBetter if gov't went after the bigger thieves - medical providers, guardians and conservators.
I just have the feeling this wife did the best she could. They've been trying to bury her from day one.
ReplyDeleteI agree, Abby. I smell an overwhelming effort to malign the wife to take her voice away.
ReplyDeleteSure go after the wife easy target she sounds greedy doesn't she? Well, I strongly suggest people with judgmental minds go look at the billing in other case files guarantee you in about 1 hour this amount looks like spare pocket change and yes Medicaid is being scammed in all 50 states and every county within the respective state and Illinois does it better: by misuese of OBRA special trust funds ouch ouch ouch and splat and you know when the OBRA account is drained, well not to worry, dead wards excess OBRA funds will be funnelled to depleted accounts all for administrative billing to the tune of $200,000.00 for the pro guardianship team and trustee of the trust with $500.00 for the ward - sound like a good deal? Now that all is gone $00.00 in ward's account the guardianship team and trustee have open season on charitable fund with no accounting to the court this scam involves serial billers.
ReplyDelete