HARRIS, Lafrance Case Study

HARRIS, LaFrance (Employer of Records) was advised of the identities of the MFCU interviewing agents BEEKMAN, Kiana, HICKS, Howard and THAW, Daniel. She voluntarily provided the following information:

HARRIS was a self-employed tax preparer, who also worked part-time in the administrative field. She is DANIEL’s, Rose niece and primary caregiver. DANIEL has been diagnosed with dementia, hypertension, high cholesterol, diabetes, and diverticulitis. HARRIS indicated that DANIEL has an undiagnosed mental disability and that she is unable to read or write. DANIEL requires 24 hour care and assistance with the majority of her Activities of Daily Living (ADL’s). HARRIS is responsible for making decisions on DANIEL’s behalf even though she does not possess her Power of Attorney (POA).

For the past 20 years, DANIEL has resided with HARRIS and she has provided DANIEL with 24 hour care. Before DANIEL moved in with HARRIS, she had been living with her

She asked if she could review her documents and contact JABA to ensure confirm the allegations of possible Medicaid fraud. Meanwhile, HARRIS stated that if she did anything incorrect she accepts full responsibility and is willing corporate to resolve any issues with Medicaid. HARRIS confessed that she may not have studied each and every timesheet that MCGHEE submitted which may be the reason she could have missed any overlapped hours. She also indicated that she should have paid more attention to the times. HARRIS emphasized that the overlapped hours was simple an error she failed to catch and correct rather than an intentional attempt to defraud the Medicaid program. HARRIS stated that she is willing to repay any money she may owe Medicaid and insisted that between her and MCGHEE, DANIEL receives 24 hours of care although MCGHEE is only paid for a maximum of 6 hours which is based DANIEL’s initial