Gena Randolph, a South Carolina speech therapist, was convicted in federal court for a scheme where she stole $2 million from federal health care programs, according to a media release from U.S. Attorney Sherri A. Lydon.  Randolph could be sentenced to more than 30 years behind bars after being convicted of health care fraud that included bogus claims of speech therapy for dead people, according to the U.S. attorney’s office.

However, this is not the first time Randolph has been in trouble with the law which begs the question:  Why was she able to participate in the Medicare program at all?

Randolph was convicted in 2012 for filing false claims with the South Carolina Medicaid Program.  That conviction meant Randolph “was prohibited from working for any provider to perform services paid for, in whole or in part, by Medicare and Medicaid,” according to the U.S. attorney.  In spite of that, Randolph continued to submit claims to Medicare and Medicaid, “only she was disguising her ownership and control over Palmetto Speech and Language Associates and Per Diem Healthcare Services.”

Evidence presented in her trial showed how Randolph executed her scheme.  Randolph “submitted claims both for speech therapy services that either were provided by other speech therapists, and for services that were never rendered at all.”   Randolph even “submitted claims for services to beneficiaries who were dead,” Lydon’s office reported.

 

 

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