Attorney General Coffman Announces Conviction and Sentencing of Speech Pathologist who Fraudulently Billed Medicaid for over $1.2M
DENVER—Colorado Attorney General Cynthia H. Coffman today announced that Tara L. Rose a Speech Language Pathologist in El Paso County, has pled guilty to one count of Class 3 felony theft and one count of Class 4 felony theft. The charges stemmed from $1.2 million in fraudulent billing that Rose and her company, Beyond Words LLC, submitted to the Colorado Department of Health Care Policy and Financing (HCPF). The court accepted her plea and the parties argued sentencing before the Court. Rose was sentenced to a term of eight years in Colorado Community Corrections on the first charged count and to a ten year term of probation on the second count that is to run consecutive to the first. Rose was also ordered to pay $1.28 million in restitution to HCPF.
An investigation by the Colorado Medicaid Fraud Control Unit (COMFCU) and HCPF determined $1.28 million, or 64% of the $1.9 million in funds that Rose received from the Medicaid program for treating minors over a six-year period was based upon the submission of billing claims that were deceptive and fraudulent.
Rose submitted Medicaid billing and received funds for patient treatment sessions that did not occur, and many of those patients had no relationship with Rose and had no idea who she was. When Rose did see patients she submitted billing indicating that she provided more extensive treatments than what was actually provided and that treatment sessions were provided more frequently than they occurred.
“The Medicaid program provides over a million low-income Coloradans with vital medical coverage,” said Attorney General Coffman. “Medicaid fraud steals from Colorado taxpayers and diverts limited healthcare resources from the most vulnerable citizens of our state. My office will continue to aggressively prosecute any health care provider who engages in this type of criminal activity.”
COMFCU, housed in the Attorney General’s Office, is a state and federally-funded multidisciplinary team, staffed with highly trained individuals that specialize in the investigation and prosecution of the abuse, neglect and exploitation of individuals in facilities that receive Medicaid dollars, and in the investigation and prosecution of fraud committed against the State by Medicaid providers.
The Attorney General’s Office is committed to protecting vulnerable Coloradans, and encourages anyone who may have information about fraud committed against the State by providers of Medicaid products and services, or the abuse and neglect of patients in federally-funded long-term care facilities, to contact the office directly.
DateNovember 29th, 2018