Westview Women's Clinic in West Valley, Utah, is being investigated for allegedly submitting more than $1 million in false claims to Medicaid, according to a Deseret News report.
Prosecutors are accusing the clinic and its medical billing company, All Medical Billing, for illegally enrolling patients in Baby Your Baby for at least five years. BYB is a program intended to be used by U.S. citizens who are pregnant and awaiting Medicaid approval. The director of the clinic, whose name was not disclosed in the report, has been accused of allegedly "coaching" prospective patients on how to fraudulently apply for the program through various means, including providing Social Security numbers and instructing them to claim U.S. citizenship when, in fact, they were not citizens. The clinic director allegedly told patients to think of a nine-digit number in their head and had the patients write the numbers on post-it notes, according to the report.
Investigators discovered patient who were already receiving BYB services were also claiming non-legal status and applying for Emergency Medicaid coverage, a program that is intended for illegal immigrants in emergency situations, according to the report.
The clinic also allegedly billed Medicaid for the most early-stage ultrasounds in the state, many of which may not have had any medical value, according to interviewed physicians.
Read the Deseret News report about the Westview Women's Clinic investigation.
Read other coverage about Medicaid fraud:
- Unlicensed Massachusetts Nurse Pleads Guilty to Role in $4.6M Medicaid Fraud Scheme
- DOJ Investigates Allegations Florida Health System Assisted WellCare in Medicaid Fraud
- New Jersey Pharmaceutical Company Settles Medicaid Fraud Allegations for $2M
Prosecutors are accusing the clinic and its medical billing company, All Medical Billing, for illegally enrolling patients in Baby Your Baby for at least five years. BYB is a program intended to be used by U.S. citizens who are pregnant and awaiting Medicaid approval. The director of the clinic, whose name was not disclosed in the report, has been accused of allegedly "coaching" prospective patients on how to fraudulently apply for the program through various means, including providing Social Security numbers and instructing them to claim U.S. citizenship when, in fact, they were not citizens. The clinic director allegedly told patients to think of a nine-digit number in their head and had the patients write the numbers on post-it notes, according to the report.
Investigators discovered patient who were already receiving BYB services were also claiming non-legal status and applying for Emergency Medicaid coverage, a program that is intended for illegal immigrants in emergency situations, according to the report.
The clinic also allegedly billed Medicaid for the most early-stage ultrasounds in the state, many of which may not have had any medical value, according to interviewed physicians.
Read the Deseret News report about the Westview Women's Clinic investigation.
Read other coverage about Medicaid fraud:
- Unlicensed Massachusetts Nurse Pleads Guilty to Role in $4.6M Medicaid Fraud Scheme
- DOJ Investigates Allegations Florida Health System Assisted WellCare in Medicaid Fraud
- New Jersey Pharmaceutical Company Settles Medicaid Fraud Allegations for $2M