Two Women in Home Health Care Fraud Case Sentenced with More Still Under Indictment 

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Two Women in Home Health Care Fraud Case Sentenced with More Still Under Indictment Two women who were part of what some authorities considered to be one of largest home health care fraud schemes in the country were sentenced recently. Autumn Brown, 32 and Brenda Lowry Horton, 48, both received probation. 

Both Ms. Brown and Ms. Horton are from Pittsburgh and the terms of the probation include six months of home detention, or house arrest. They were also each ordered to pay restitution to the Pennsylvania Medicaid program. Autumn Brown was ordered to pay back $68,000 to the Medicaid system. Brenda Horton was ordered to pay $67,000 in restitution. 

Both of these women had initially pleaded guilty to a yearslong conspiracy they helped carry out. While working with Moriarty Consultants, a home health care company operating on Perrysville Avenue in Pittsburgh, the two women claimed they had been submitting fraudulent claims for services that were never provided and helped fabricate those forms. 

As noted by the Pittsburgh Post-Gazette in its news blog, Two woman [sic] sentenced in record home healthcare fraud case; 14 more under indictment: 

The women admitted that they were part of a conspiracy to submit fraudulent claims for services that were never provided to consumers identified on claim forms or that was fabricated to support the claims. 

They also conspired with others to fabricate timesheets for care they never provided. 

In addition, Horton and others stopped using their own names as attendants on timesheets and instead used the names of ghost employees, some of whom allowed their names to be used in exchange for kickbacks drawn from the fraudulent salary payments.” 

Between 2011 in 2017, Moriarty Consultants received over $87 million in Medicaid payments, though it was not made clear what percentage of those payments were completely fraudulent or if there were any services that were actually provided to clients in need. Arlinda Moriarty, the owner of Moriarty Consultants, is currently under indictment along with 13 other people. 

According to investigators, Ms. Brown also allowed her name to be used in a fraudulent manner, receiving payments for being part of this conspiracy. Ms. Horton also admitted to paying kickbacks to certain consumers who allowed their names to be used and forged on false timesheets. 

It was not made clear whether any other co-conspirators were planning to plead guilty in this case, but these were the first two to admit their guilt and be sentenced. It has been a black mark on the home health care industry, but it appears that justice is beginning to be served. 

Two women who were part of what some authorities considered to be one of largest home health care fraud schemes in the country were sentenced recently. Autumn Brown, 32 and Brenda Lowry Horton, 48, both received probation. 

Both Ms. Brown and Ms. Horton are from Pittsburgh and the terms of the probation include six months of home detention, or house arrest. They were also each ordered to pay restitution to the Pennsylvania Medicaid program. Autumn Brown was ordered to pay back $68,000 to the Medicaid system. Brenda Horton was ordered to pay $67,000 in restitution. 

Both of these women had initially pleaded guilty to a yearslong conspiracy they helped carry out. While working with Moriarty Consultants, a home health care company operating on Perrysville Avenue in Pittsburgh, the two women claimed they had been submitting fraudulent claims for services that were never provided and helped fabricate those forms. 

As noted by the Pittsburgh Post-Gazette in its news blog, Two woman [sic] sentenced in record home healthcare fraud case; 14 more under indictment: 

The women admitted that they were part of a conspiracy to submit fraudulent claims for services that were never provided to consumers identified on claim forms or that was fabricated to support the claims. 

They also conspired with others to fabricate timesheets for care they never provided. 

In addition, Horton and others stopped using their own names as attendants on timesheets and instead used the names of ghost employees, some of whom allowed their names to be used in exchange for kickbacks drawn from the fraudulent salary payments.” 

Between 2011 in 2017, Moriarty Consultants received over $87 million in Medicaid payments, though it was not made clear what percentage of those payments were completely fraudulent or if there were any services that were actually provided to clients in need. Arlinda Moriarty, the owner of Moriarty Consultants, is currently under indictment along with 13 other people. 

According to investigators, Ms. Brown also allowed her name to be used in a fraudulent manner, receiving payments for being part of this conspiracy. Ms. Horton also admitted to paying kickbacks to certain consumers who allowed their names to be used and forged on false timesheets. 

It was not made clear whether any other co-conspirators were planning to plead guilty in this case, but these were the first two to admit their guilt and be sentenced. It has been a black mark on the home health care industry, but it appears that justice is beginning to be served. 

Valerie VanBooven, RN BSN, Editor in Chief of HomeCareDaily.com

Editor in Chief of HomeCareDaily.com at LTC Expert Publications
Valerie is a Registered Nurse, Author, and Co-Owner of LTC Expert Publications. Read More at http://www.LTCSocialMark.com
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Two Women in Home Health Care Fraud Case Sentenced with More Still Under Indictment 
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Two Women in Home Health Care Fraud Case Sentenced with More Still Under Indictment 
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Two women who were part of what some authorities considered to be one of largest home health care fraud schemes in the country were sentenced recently. Autumn Brown, 32 and Brenda Lowry Horton, 48, both received probation. 
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