CrimeDivas

Female White-Collar Crime Divas-Mordern Day Thieves

She’s Not A Doctor!

psychI believe everyone has at one point or another pretended to be someone or something more than what he or she is, if no more than in his or her own mind. Its child play, you remember it’s called make believe. For children this is healthy. However, pretending to be something, you are not as an adult and committing a crime is a whole different story and will end you up in prison as with today’s CrimeDiva.

Today’s CrimeDivas, Brenda Ward, 47, of Cedar Hill, Texas, pleaded guilty to one count of health care fraud and is free on bond until sentencing where she faces up to ten years in federal prison.

According to records, Ms. Ward, created a company called H.E.L.P.-Ing. Communities, Inc. She then obtained a Medicaid group number for her company and used that number, together with individual Medicaid provider numbers of licensed counselors and Medicaid recipient information, to submit fraudulent claims to Medicaid. [It was not disclosed how she came about these other Medicaid providers numbers, but like everything else I’m sure anyone can look it up on the internet.]

In addition, Ms. Ward is not a licensed psychotherapist nor a mental health provider. [This has me wondering if anyone can obtain a Medicaid provider number!?!] It is alleged that she submitted claims for individual, family, and group psychotherapy sessions that were not performed. [Well, there’s the fraud.] The more disturbing part of this is that Ms. Ward used the identification of more than 290 Medicaid recipients, most of whom were minor children, in her scheme. As part of her fraud, Ms. Ward used the Medicaid provider numbers of four licensed counselors, without their knowledge and consent, to submit claims under her company’s group number for services that they did not perform. Ms. Ward also used the Medicaid provider information of another licensed counselor who worked for her to submit claims for psychotherapy services that both predated and postdated the counselor’s actual employment with her, as well as claims for services that the counselor did not provide during the counselor’s employment.

Ms. Ward scheme went on from January 1, 2009, through February 9, 2015, which she claimed over $1.6 million.

Why all the greed? What is influencing these behaviors? What are your thoughts about this?

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Check-pointDecember 31st, 2016
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