Vegas woman convicted of Medicaid fraud - FOX5 Vegas - KVVU

Vegas woman convicted of Medicaid fraud

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A Las Vegas woman has been sentenced to time in jail, and ordered to pay more than $18,000 after being convicted of Medicaid fraud. Aurora Volero-Alvarez, 61, was sentenced Thursday.

An investigation proved that patients of Volero-Alvarez were at other care facilities when she was claiming to have provided home bound services, according to Nevada Attorney General Catherine Cortez Masto. Volero-Alvarez provided false information to her employer and received payment as if she had actually performed the services. The fraud occurred from about December 2009 to February 2011.

"An anonymous tip led to this successful investigation and prosecution," said Masto. "Our thanks go out to that person. A whistleblower sent us a letter informing my office that Volero-Alvarez had claimed she had provided services to clients who were not actually present to receive services. Tips like this one help our office ensure the integrity of Medicaid and help us return money for use by Nevadans in need."

Volero-Alvarez pled guilty to a misdemeanor offense of submission of false medicaid claims. Justice of the Peace Melanie Andress-Tobiasson sentenced her to 90 days jail, suspended, 40 hours of community service, a "stay out of trouble" provision, and ordered her to repay $18,450 in restitution and penalties.

Persons convicted of Medicaid fraud may also be administratively excluded from future Medicaid participation.

The Medicaid PCA program enables people to live independently in their own homes by providing personal assistance with basic services, including bathing, dressing, cleaning and meal preparation. Medicaid contracts with home care companies that in turn employ individuals to provide the actual day-to-day care.

The case was investigated and prosecuted by the MFCU, which investigates and prosecutes financial fraud by those providing healthcare services or goods to Medicaid patients. The MFCU also investigates and prosecutes instances of elder abuse or neglect. Anyone wishing to report suspicions regarding any of these concerns may contact the MFCU at (775) 684-1191 or (702) 486-3187.

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