Date: August 14, 2017 | Category: News

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Date: August 4, 2017 | Category: News

We are sharing this news release from the Department of Justice. If you suspect Medicare abuse or fraud in Missouri, call the Missouri SMP at 888-515-6565.

DALLAS — A former employee at Parkland Health and Hospital System in Dallas (Parkland), Viju Mathew, and his wife, Mariamma Viju, a registered nurse who worked at Baylor University Medical at Dallas (Baylor), who pleaded guilty to federal charges stemming from their theft/unlawfully obtaining patient identification information, were sentenced today by U.S. District Judge Jane J. Boyle, announced U.S. Attorney John Parker of the Northern District of Texas.

Viju Mathew, 52, and his wife, Mariamma Viju, also 52, were sentenced to 30 months imprisonment and ordered to pay $297,957.89 in restitution to Medicare. Mathew pleaded guilty in November 2014 to one count of fraud and related activity in connection with identification documents, authentication features and information (identity theft) and Viju pleaded guilty in May 2016 to one count of wrongful disclosure of individually identifiable health information (HIPAA violation). Both defendants reside in Garland, Texas. Judge Boyle ordered they surrender to the Bureau of Prisons on August 30, 2017.

According to plea documents filed in the cases and the evidence produced during the sentencing hearing, which spanned four days, Mathew and Viju both stole patient identities from their jobs at local hospitals and used the stolen patient information to solicit patients for the home health care agency they jointly owned and operated, Dallas Home Health. Mathew worked as a registration specialist at Parkland, where he was responsible for entering patient information into Parkland’s computer system. Mathew used his position to obtain confidential information for more than 3,000 patients, including patients’ names, telephone numbers, dates of birth, participation in the Medicare program, and government-issued health insurance claim numbers. Mathew admitted that he knowingly removed the confidential information intending to use it to gain an economic benefit by contacting prospective patients for his home health care business, Dallas Home Health.

Viju worked as a registered nurse at Baylor until she was terminated in October 2012. While employed at Baylor, she surreptitiously collected Baylor patient identification information, specifically, identifying health information, to recruit them as patients of Dallas Home Health, where she served as Director of Nursing.

The evidence also showed that Dallas Home Health obtained patient certifications from a number of doctors who have been convicted or charged in other health care fraud cases in the Northern District of Texas including Nicholas Padron (Case No. 3:12-CR-310), Jacques Roy (3:12-CR-054-L), and Hector Molina (Case No. 3:15-CR-163-K).

The FBI, Department of Health and Human Services Office of Inspector General, and the Texas Attorney General’s Medicaid Fraud Control Unit investigated. Assistant U.S. Attorney Doug Brasher prosecuted the cases.

Date: August 2, 2017 | Category: News

The Missouri SMP (Senior Medicare Patrol) wants to report to you the progress that federal, state and local law enforcement officers have made in the fight against Medicare and Medicaid Fraud.
The Department of Health and Human Services Office of Inspector General led an unprecedented nationwide health care fraud takedown in July. It was the largest in history. More than 400 defendants in 41 federal districts were charged for their alleged participation in healthcare fraud schemes.
The crimes involved more than $1.3 billion in false billings to health care programs. One hundred-fifteen of the defendants are either doctors or nurses. Thirty Medicaid Fraud Control Units participated in the takedown. About 1,000 law enforcement personnel took part. Nearly 300 people were barred from participating in Medicare and Medicaid. That included 57 doctors, 162 nurses, and 36 pharmacists.
These takedowns send the message that the federal government will not tolerate theft from Medicare and Medicaid. The money that taxpayers spend fighting fraud is an excellent investment: For every $1 spent on health care related fraud and abuse investigations in the last three years, more than $5 was recovered.
That’s why the Missouri SMP wants Medicare beneficiaries to watch out for anything that might seem fishy when it comes to your Medicare benefits. You are on the front lines. If you notice something that does not seem right in your Medicare explanation of benefits or your doctors’ bills, question it with the doctors. If you don’t get satisfactory answers, take it a step further.
Report suspected Medicare fraud to the Missouri SMP at (888) 515-6565. SMPs are funded through the U.S. Department of Health and Human Services, Administration for Community Living, Administration on Aging.

Date: August 1, 2017 | Category: News

Six senior centers in the Care Connection for Aging Services area will present Medicare 101 presentations during August.
The hour-long presentations are geared toward people who are preparing to enroll in Medicare or recently enrolled in the program – whether they plan to continue working or to retire. The sessions are presented at noon with the idea that working folks can attend.
Participants will learn about Medicare’s benefits, premiums, deductibles and copayments, as well as the differences in Parts A, B, C, and D.
The workshops will be presented at noon:
•Aug. 17 at the Margaret Gray Center, 811C S. Business Highway 13, Lexington.
•Aug. 22 at the Sedalia Senior Center, 312 S. Washington, Sedalia.
•Aug. 23 at the Warsaw Senior Center, Harbor Village, 17571 N. Dam Access Road, Warsaw.
•Aug. 23 at the Carroll County Senior Center, 200 Lifecare Lane, Carrollton.
•Aug. 29 at the Neal Center, 301 N. Main, Nevada, MO
•Aug. 31 at the Rivers Crossing Life Center, 5215 Business Highway 13 NE, Osceola.
The sessions are free and open to the public. Reservations are required and can be made by calling Stacey Gilkeson at 1-800-748-7826. Lunch will be available to people who are 60 and older for a contribution. Lunch will be available for the cost of the meal for those younger than 60.

Date: August 1, 2017 | Category: News

The Missouri SMP (Senior Medicare Patrol) wants to report to you the progress that federal, state and local law enforcement officers have made in the fight against Medicare and Medicaid Fraud.
The Department of Health and Human Services Office of Inspector General led an unprecedented nationwide health care fraud takedown in July. It was the largest in history. More than 400 defendants in 41 federal districts were charged for their alleged participation in healthcare fraud schemes.
The crimes involved more than $1.3 billion in false billings to health care programs. One hundred-fifteen of the defendants are either doctors or nurses. Thirty Medicaid Fraud Control Units participated in the takedown. About 1,000 law enforcement personnel took part. Nearly 300 people were barred from participating in Medicare and Medicaid. That included 57 doctors, 162 nurses, and 36 pharmacists.
These takedowns send the message that the federal government will not tolerate theft from Medicare and Medicaid. The money that taxpayers spend fighting fraud is an excellent investment: For every $1 spent on health care related fraud and abuse investigations in the last three years, more than $5 was recovered.
That’s why the Missouri SMP wants Medicare beneficiaries to watch out for anything that might seem fishy when it comes to your Medicare benefits. You are on the front lines. If you notice something that does not seem right in your Medicare explanation of benefits or your doctors’ bills, question it with the doctors. If you don’t get satisfactory answers, take it a step further.
Report suspected Medicare fraud to the Missouri SMP at (888) 515-6565. SMPs are funded through the U.S. Department of Health and Human Services, Administration for Community Living, Administration on Aging.

Date: July 11, 2017 | Category: News

The Care Connection delegation of the Silver Haired Legislature has named as its top two priorities a dedicated funding stream for services for older Missourians and increased monies for meals for seniors.
The No. 1 proposal, the establishment of a Senior Services Growth and Development Fund, was an idea first brought to the General Assembly by the Missouri Association of Area Agencies on Aging last session.
The goal is to address the growth in senior population and the dip in funding for senior programs. The measure was not brought to a vote by the General Assembly.
The fund would be used by the area agencies on aging for enhancing senior services. The proposal would not require a tax increase.
The No. 2 Care Connection SHL priority would increase by $3 million the money allocated for meals served in senior center dining rooms and delivered to the homebound.
The increase would help cover rising costs of purchasing food, replacing equipment, meeting operating expenses, and finding volunteers and/or staff to deliver home-delivered meals.
The Care Connection delegation will meet with its counterparts in Jefferson City in October to debate and vote on statewide priorities to be presented to the Legislature in 2018.
The Silver Haired Legislature is an advisory body of citizens ages 60 or older who volunteer to advocate for Missouri’s older adults.
The 150 delegates are elected from each of Missouri’s 10 area agencies on aging. They meet in a model legislative session at the State Capitol in October to name their priorities.
Here are five alternative proposals of the Care Connection SHL delegation:
•Restoration of the Missouri Rx program for those with Medicare only. This proposal would reauthorize the MoRx program to include those with Medicare only for another three years. Some 64,000 people lost their coverage when it was not reauthorized.
•Elder abuse awareness training. The proposal calls the state to require two hours of training for all new peace officer recruits to cover adult abuse, neglect, and exploitation, as well as the role of peace officers as mandated reporters to the state elder abuse hotline.
•Financial assistance to seniors for medically-necessary hearing aid devices, vision services, and dental care through MO HealthNet (Medicaid). Most Medicare and Medicaid plans exclude coverage of hearing aids and dentures.
•The return of money recovered from MO HealthNet for overcharges to the MO HealthNet program rather than the state’s General Revenue fund.
•Senior Farmers’ Market Nutrition Program. This proposal would provide matching money for the USDA Senior Farmers’ Market Nutrition Program (SFMNP) to help provide seniors with nutritious food at an affordable price.
Care Connection for Aging Services is a non-profit area agency on aging serving 23 locations in 13 counties in West Central Missouri, including Bates, Benton, Carroll, Cedar, Chariton, Henry, Hickory, Johnson, Lafayette, Pettis, Saline, St. Clair and Vernon. Its mission is to provide resources and services that empower people to create healthy aging experiences. For more information, call 1-800-748-7826.
Here is a list of the Silver-Haired Legislature membership:
Senators:
Shirley D. Ross, of Lexington, (Region 1) represents Lafayette, Carroll, Chariton and Saline
Nancy Maxwell, of Holden (Region 2) represents Johnson, Pettis, Henry and Benton
Judith Ball, of Adrian (Region 3) represents Hickory, Bates, Cedar, Vernon and St. Clair counties.
Edith Dilley, of Butler, represents Bates County.
Cynthia Smith, of Warsaw, represents Benton County.
Donald Brockmeier, of Carrollton, represents Carroll County.
Larry Pursley, of Stockton, represents Cedar County.
Pamelia Tietjens, of Brunswick, represents Chariton County.
Larry Steinhauser, of Clinton, represents Henry County.
William V. Arnold, of Preston, represents Hickory and St. Clair counties.
Dee Kerr, of Warrensburg, represents Johnson County.
Sue Foster, of LaMonte, represents Pettis County.
Elaine Bagnell, of Blackburn, represents Saline County.
Marlene Moran, of Sheldon, represents Vernon County.
The representative seat in Lafayette County is vacant.

Event Date: August 20, 2017 Event Time: 11 a.m. to 2 p.m. Event Location: Johnson County Fairgrounds

The 10th Annual Community Senior Festival will take place from 11 a.m. to the 2 p.m. at the Johnson County Fairgrounds with food, entertainment and an auction. The meal includes pork and brisket, potato salad, cole slaw, baked beans, roll, homemade desserts, coffee and tea. There will be a live pie auction at 12:30 p.m. Scott Stober will entertain beginning at 11 a.m. A freewill donation will support the home delivered meal program at the Warrensburg Senior Center. There also will be a silent auction beginning at 11 a.m.

Event Date: August 20, 2017 Event Time: 11 a.m. to 3 p.m. Event Location: Marshall Senior Center, 14 E. Morgan, Marshall

On the eve of the total solar eclipse, we will be going totally meatballs at the Marshall Senior Center. The center is host to a fundraising spaghetti dinner that will support all United Way agencies, including us. The meal costs $7 and will be served from 11 a.m. to 3 p.m. Sunday, Aug. 20, at 14 E. Morgan in Marshall. The center will be closed on Aug. 21 for the solar eclipse.

Event Date: August 21, 2017 Event Time: 4:30 p.m. to 6:30 p.m. Event Location: Margaret Gray Center, 811C S. Business Highway 13, Lexington

Start the Lexington Fair off right at the Margaret Gray Center. The meal includes fried chicken, mashed potatoes and gravy, green beans, rolls, homemade desserts and a drink. The event takes place beginning at 4:30 p.m. The pie auction takes place at 5:30 p.m. Entertainment will be provided by Dan Lloyd. The cost is $8 for adult and $4 for children 6 and younger.

Event Date: August 21, 2017 Event Time: Noon to 2 p.m. Monday Event Location: Clinton Senior Center, 970 E. Sedalia Ave., Clinton

Please join us for a Solar Eclipse Celebration at the Clinton Senior Cetner at 970 E. Sedalia Ave., Clinton, MO from noon to 2 p.m. Monday, Aug. 21, for a viewing of the solar eclipse. Viewing glasses will be available to the first 80 participants.

Event Date: August 22, 2017 Event Time: Noon to 1 p.m. Event Location:

A Medicare 101 presentation geared toward those new to Medicare, whether they are retiring or continuing to work. This will be a free, informative session. Lunch is available. Call 1-800-748-7826 to make your reservation.

Event Date: August 23, 2017 Event Time: Noon to 1 p.m. Event Location: Warsaw Senior Center/ Harbor Village, 17571 N. Dam Access Road, Warsaw

A Medicare 101 presentation geared toward those new to Medicare, whether they are retiring or continuing to work. This will be a free, informative session. Lunch is available. Call 1-800-748-7826 to make your reservation.

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