February 11, 2019
Las Vegas, NV – Nevada Attorney General Aaron D. Ford announced that Doretha Scott, 65, of Las Vegas, was sentenced today in a Medicaid fraud case involving submitting false claims to Nevada Medicaid. The fraud occurred between December 2015 and January 2017.
District Court Judge James Bixler sentenced Scott to 12-36 months incarceration, suspended, and payment of $160,561.43 in restitution. Individuals or businesses convicted of Medicaid fraud may also be administratively excluded from future Medicaid and Medicare participation.
“When a health care provider tries to cheat the system, my Medicaid Fraud Control Unit steps in to investigate and prosecute,” said AG Ford. “Today, we’re holding this provider accountable for her frauds and ensuring those in need of Medicaid services receive their health care.”
The investigation of this case began after the Medicaid Fraud Control Unit (MFCU) received information that Scott, the owner of Men on the Rise, Inc. (Men on the Rise), was using her business to submit claims for services never provided to Medicaid recipients. The investigation revealed that Scott knowingly submitted these false claims, which in some cases purported that Scott herself had provided services. The Medicaid recipients denied they received the amount of services allegedly provided by Scott and Men on the Rise. Upon further investigation, it was concluded that the documentation Scott prepared and used to substantiate Medicaid claims was false. Many of Scott’s records did not note the actual dates, times or services provided to Medicaid recipients. In other instances, the records were missing entirely.
The MFCU investigates and prosecutes financial fraud by those providing healthcare services or goods to Medicaid patients. The MFCU also investigates and prosecutes instances of elder abuse or neglect. Anyone wishing to report suspicions regarding any of these concerns may contact the MFCU at 702-486-3420 or 775-684-1100.
To view the criminal Information, click here.
This case was investigated by the Attorney General’s Medicaid Fraud Control Unit, and was prosecuted by Senior Deputy Attorney General Andrew Schulke.
SCOTT, DORETHA M.
(Photograph courtesy of the Las Vegas Metropolitan Police Department)
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