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Unfrickenbelievable!

I'm a nurse supervisor for a pediatric home health agency. We just fired and reported a nurse for the following: (this will blow your mind!)

1. She has worked with Pt. A for 5 yrs and attends school with her...every summer the mom would tell her she doesn't need to work but she can write up her daily notes and she would sign them. Basically she was clocking 30 hrs a week for the entire summer (and holidays) but wasn't working at all! She did this for 5 summers.

2. Pt. B...the mother let her come pick up the child and watch her at her own house. On one occasion she left the sleeping child alone so she could run to the corner store. She also allegedly stole various household items such as candles, pic frames, ate her food, and stole items the mom sells on an online boutique.

There's no telling what else she's done. WOW!

OrganizedChaos specializes in M/S, LTC, Corrections, PDN & drug rehab.

I'm a nurse supervisor for a pediatric home health agency. We just fired and reported a nurse for the following: (this will blow your mind!)

1. She has worked with Pt. A for 5 yrs and attends school with her...every summer the mom would tell her she doesn't need to work but she can write up her daily notes and she would sign them. Basically she was clocking 30 hrs a week for the entire summer (and holidays) but wasn't working at all! She did this for 5 summers.

2. Pt. B...the mother let her come pick up the child and watch her at her own house. On one occasion she left the sleeping child alone so she could run to the corner store. She also allegedly stole various household items such as candles, pic frames, ate her food, and stole items the mom sells on an online boutique.

There's no telling what else she's done. WOW!

I wanna say I'm shocked with the first one, but I'm not. I've heard of nurses doing that. The last PDN case I worked one of the nurses also took the patient to their house.

I have known of several, yes, several, nurses who document hours worked when they were nowhere near the client's home. On more than one occasion, I have been approached by client family members to engage in this type of fraud. Whenever I get told to go home early "go ahead and put your usual time", I lose wages because I insist on being honest. Every time the subject comes up, I reteach the family member about fraud. They insist that the other nurse does it and does not get in trouble, etc. etc. I am certain that the last time I left a case was because the mother was insisting on the fraud and a new weekend nurse was only too happy to oblige her, with my weekday hours as her reward.

What is truly disgusting is the lack of action on the part of the agencies when the fraud is reported. The agency terminates the person doing the reporting while allowing the people committing the fraud to continue with a pat on the back.

Your situation is only the second, among many instances, that I know of, where the agency has taken action against the fraud.

This is unfortantely very normal. A mother asked me if I "clocked" hours could we split the money. I never went back to that case.

Elektra6 specializes in Home Health, LTC, subacute.

This is unfortantely very normal. A mother asked me if I "clocked" hours could we split the money. I never went back to that case.

I think you can get jail time for this. FRAUD! Good for you for leaving the case.

NutmeggeRN specializes in kids.

Eeks! That is crazy, but you know what they say "God is great, Beer is good and People are crazy!"

oh nevermind, that is the name of a country song!!!!

No Stars In My Eyes specializes in Med nurse in med-surg., float, HH, and PDN.

Gads! What if something had happened? FIVE YEARS of fraudulent time slips and documentation! What a lot of gall! Totally unprofessional.....And how very, very stupid of her as well.

Who discovered it? What were the circumstances that led to her being exposed?

And about the mother who wanted to split the pay for the claimed work, the hours that were fraudulent....I am speechless!

I did know of a mother and daughter who did PD with old folks through our agency, and the son who 'helped out' old folks free-lance;

they had quite a scam going.... stealing cash, jewelry, drugs. They were always wearing diamond jewelry and driving gorgeous cars, but lived in a housing project.

When they caught wind of a patient who was suspicious of them and asked not to have them assigned to her anymore, they left the agency. and took their 'business' elsewhere. I used to watch the newspapers all the time, expecting they would be caught. But, as far as I know they are still operating as usual and just being lauded by many for the 'kindness of their hearts." (SNORT!)

There is a front row seat in hell for folks like that. I really wish they would trip up somehow so that hardcore evidence could make a case against them.

I hate it when people give our profession a bad reputation.

They can trip all over themselves and it does no good if those with the legal responsibility to report and deal with them refuse to do so.

No Stars In My Eyes specializes in Med nurse in med-surg., float, HH, and PDN.

Yup. They seem to have a knack for picking 'clients' who are at a disadvantage , like no family, or are timid, trusting old souls. There was, I believe, a couple who actually said they didn't want to 'get them in trouble', and refused to press charges.

imintrouble specializes in LTC Rehab Med/Surg.

It's a relief to discover I'm not too old and jaded to be shocked by something.

Five years!

Raviepoo specializes in hospice.

Isn't that medicaid fraud? Can't it get a nurse banned from ever working for an organization that takes government money?

I have known of several, yes, several, nurses who document hours worked when they were nowhere near the client's home. On more than one occasion, I have been approached by client family members to engage in this type of fraud. Whenever I get told to go home early "go ahead and put your usual time", I lose wages because I insist on being honest. Every time the subject comes up, I reteach the family member about fraud. They insist that the other nurse does it and does not get in trouble, etc. etc. I am certain that the last time I left a case was because the mother was insisting on the fraud and a new weekend nurse was only too happy to oblige her, with my weekday hours as her reward.

What is truly disgusting is the lack of action on the part of the agencies when the fraud is reported. The agency terminates the person doing the reporting while allowing the people committing the fraud to continue with a pat on the back.

Your situation is only the second, among many instances, that I know of, where the agency has taken action against the fraud.

If you report it, you might get a reward.

These folks are committing grand larceny, defrauding Fed gov, something like that. I believe there are rewards for whistleblowers. That would include the clients facilitating this.

Alex Egan specializes in Home Health (PDN), Camp Nursing.

I couldn't call the Medicare compliance number quickly enough. This is fraud, not even subtle fraud. I'm also not usually quick to report other nurses but his has to be reported to the state BON.

nursel56 specializes in Peds/outpatient FP,derm,allergy/private duty.

If you report it, you might get a reward.

These folks are committing grand larceny, defrauding Fed gov, something like that. I believe there are rewards for whistleblowers. That would include the clients facilitating this.

Absolutely. The client should be reported, too. I know from personal experience the client can be cut off and required to pay the money back. The person who was involved was a vent/trach patient.

jeckrn specializes in EMT, ER, Homehealth, OR.

Sounds like fraud on the nurses part and the mothers part with patient A. The state/federal agency paying the bills for this patient needs to be notified otherwise you could be considered part of it. If you do not report this there could be negative outcomes for your agency since they sent in the paperwork to be paid. Your agency made money during the times that the nurse was not working. If you do not turn this in and some how either your bosses find out from the community or if Medicare/Medicaid administrations start an investigation your job will be in jeopardy, which it could already if you are the one who signed the nurses time sheets. The agency (your bosses) are going to do its best to protect there self interest.

Edited by jeckrn

No Stars In My Eyes specializes in Med nurse in med-surg., float, HH, and PDN.

Sounds like fraud on the nurses part and the mothers part with patient A. The state/federal agency paying the bills for this patient needs to be notified otherwise you could be considered part of it. If you do not report this there could be negative outcomes for your agency since they sent in the paperwork to be paid. Your agency made money during the times that the nurse was not working. If you do not turn this in and some how either your bosses find out from the community or if Medicare/Medicaid administrations start an investigation your job will be in jeopardy, which it could already if you are the one who signed the nurses time sheets. The agency (your bosses) are going to do its best to protect there self interest.

YIKES! Blow the whistle quickly!

I'll be looking for the story to break in the news.

You are all wrong in here. I have with another honest nurses reported a nurse who slept and was out of state and was charging medicaid money for 7 years 24 hours a day, stole a lots of millions. She have bought 7 homes...And guess what..... She went to trial after 4 years of investigation and needs to pay back 100 grand, 3 years of probation and that is all. No jail time, no nada........

You are all wrong in here. I have with another honest nurses reported a nurse who slept and was out of state and was charging medicaid money for 7 years 24 hours a day, stole a lots of millions. She have bought 7 homes...And guess what..... She went to trial after 4 years of investigation and needs to pay back 100 grand, 3 years of probation and that is all. No jail time, no nada........

Medicaid is state funded so while one state may not have a big penalty, another state could impose sentencing on the nurse and parent that could be rather ugly. The nurse's BON will likely do something with her license and if not, the state could impose restrictions that could make it nearly impossible to work.

I'm not quit sure how the person you say got no punishment was billing Medicaid for 7 years for 24 hours a day. Was this nurse VanWinkle who was supposed to never sleep for the 7 years? I'm also trying to figure out how this nurse in 7 years time would have been paid "lots of millions." I've worked for quite some time and haven't made that much. Maybe I'm missing something.

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