Another Medicaid Fraud Case Win for AG

posted Mar 23, 2012, 9:43 AM by Zack Freeman   [ updated Mar 23, 2012, 9:46 AM ]

Another Medicaid Fraud Case Win for AG...Caregiver Pleads Guilty to Cheating the State
Thursday, October 07, 2010 

(ALBUQUERQUE)---AG Gary King's Medicaid Fraud and Elder Abuse Division (MFEAD) reports 26-year-old Robert Lopez pled guilty to cheating the Medicaid system by filing false claims for respite services.

Lopez, of Albuquerque, admitted to one count of Medicaid Fraudand one count of Falsification of Documents in front of Bernaillo County District Judge Robert Schwartz on Wednesday. He submitted falsified timesheets for Medicaid funded respite services between January 1, 2008 and June 30, 2008, claiming 180 hours he did not work.

The defendant is now barred from employment by any agency or facility that participates in, or is funded by, any federally-funded healthcare program and has paid back all monies wrongly received. Each count is a forth-degree felony carrying a possibility of 18-months incarceration. Lopez will be sentenced by Judge Schwartz at a later date.

The AGO Medicaid Fraud and Elder Abuse Division is the federally mandated Medicaid Fraud Control Unit for New Mexico and enforces the Medicaid Fraud Act and the Resident Abuse and Neglect Act.  The MFEAD staff is comprised of attorneys, CPA forensic auditors, law enforcement officers, and nurse medical investigators.

Zack Freeman,
Mar 23, 2012, 9:46 AM