No medical director equals medicaid fraud
Federal and State regulations mandate that a nursing home hire and retain a medical director for nursing homes. In a recent case, after a lengthy investigation, a nursing home was found guilty of fraud for failing to have a medical director. It took the jury about two hours to decide.
The state took Billie Anderson to court because investigators say from March 2002 to January 2003 Anderson operated Anderson Health Care in Gray without a medical director.
During that time she still collected about $100,000 dollars a month for her Medicaid patients—that is a violation of Medicaid laws because she didn't have a medical director.
The guilty verdict means the jury believes Anderson knew there was no medical director and that she concealed or failed to disclose that information to the state.
