Beloit Woman Sentenced for Medicaid Fraud

Unknown 2014 Behavioral Health

OIG Medicaid Fraud Obstruction

Penalty

$45,786

Outcome

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Details

Beloit Woman Sentenced for Medicaid Fraud — $45,786 Criminal

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Madison - Attorney General J.B. Van Hollen announced today that a Beloit woman has been sentenced in Walworth County on convictions for Medicaid fraud and falsification of patient health care records. Lara Skrzypczynski appeared before Walworth County Circuit Court Judge David M. Reddy on January 24, 2014, and was placed on probation for three years, with a condition of 90 days in jail. She also was ordered to pay $45,786.87 in restitution, with payments beginning on March 1, 2014; if she fails to make restitution, she may receive an additional six months in jail. Other probation conditions include AODA assessment and follow-through, mental health assessment and payment of court costs.

How Crucible Prevents This

Crucible's billing compliance controls enforce documentation-to-claims reconciliation, requiring clinical attestation before claims submission and flagging billing patterns that deviate from documented care delivery. Crucible's immutable audit trail prevents records from being altered or destroyed, and its document retention enforcement ensures compliance with record-keeping requirements.

Source: Beloit Woman Sentenced for Medicaid Fraud

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