A former billing director for behavioral health provider Preferred Family Healthcare has been charged with Medicaid fraud in Independence County. Arkansas Attorney General Leslie Rutledge announced the arrest of Helen Balding, 47, of New Braunfels, Texas, formerly of Fayetteville, on two counts of Medicaid fraud. 2.2 million from January 2015 to October 2017. Here’s the affidavit in her arrest. 2.2 million through improper billing practices coordinated through the PFH affiliate in Batesville. Prosecutors say Raveendran, a former program integrity director for the state Department of Human Services, used his intimate knowledge of medical billing to devise a method to overcharge Medicaid for certain services that should have been paid by Medicare. 339,000 over a two-year period from PFH and two other entities, including a firm operated by indicted lobbyist Rusty Cranford. Balding was first hired in 2009 by Dayspring, an Arkansas affiliate of the nonprofit that later became PFH. In 2014, that nonprofit also acquired a second Arkansas provider called Health Resources of Arkansas.
After the merger, Balding trained the Batesville staff at Health Resources of Arkansas on billing procedures, including the fraudulent method described above. Balding told prosecutors that Raveendran “gave the directive” to bill in this way. The affidavit says that Balding knew what she was doing was wrong. “She stated that she knew this was incorrect and initially disputed the directive. Regardless, she instructed the HRA staff to illegally bill the … claims according to PFH emails dated August 2014,” it says. Meanwhile, PFH’s other Arkansas affiliate continued to bill claims properly. Balding “purposely and knowingly instructed the two divisions of PFH (HRA and Dayspring) to bill the … claims differently,” the affidavit says. It describes Balding as “an experienced billing supervisor” who knew how to properly bill Medicaid. 194,000 came from PFH. 59,000 came from the Cranford Coalition, the lobbying firm of Rusty Cranford, who recently pleaded guilty to bribing Arkansas legislators and conspiring with other PFH executives to embezzle money from the nonprofit. Cranford and Raveendran arranged the jobs for Balding. Balding was initially “mostly cooperative” in the investigation, the affidavit continues, though she “minimized her role” in the scheme.
Finding the best medical coverage is similar to finding the best sneaker. You will need to know something about the foot in question before you start looking. The best health policy for your neighbor may be a lousy one for you. Healthcare cover rates are based on several factors including age, gender, location and health history. This can mean that you will pay a very different rate for the same health care insurance policy that your neighbor signed up for. When making decisions about health insurance coverage, there are several issues that you should contemplate when trying to find the best healthcare insurance policy for yourself or your family. One is the services covered, another is the network and a third is the price. Knowing what ISN’T covered is crucial. You should be able to find a brochure or outline of coverage that will tell you what health care services are covered and what isn’t. You should also know what your deductibles, coinsurance and cost shares would be for the different healthcare insurance contracts you are considering.
You should be able to find a section in the plan or the literature that describes it called “limitations and exclusions” or something similar. This is an important section to review. You will want to know what isn’t covered before you buy. The provider network each insurance policy comes with is another important factor to consider. Ideally, you will be able to keep your own doctor. If you can’t do that with one plan, you may want to consider another contract that includes him or her in their network. As a minimum, you will want to make sure that there are other doctors in the participating providers list that are convenient to you. You will also want to make sure that a convenient hospital is in the network list of providers as well. If your job is a distance from your home, you may also want to check the participating providers in that vicinity. The same logic applies to checking the provider network near your school or college.
- Limit Added Sugars
- Get as much of the meal put together as possible
- A headache that doesn’t go away
- Freezer Cooking
- A BMI of 30 or greater
- Add in Physical Activity
The cost of your insurance policy is important, but only when you compare it with the benefits. 100,000 deductible might not be a good deal. 100,000 a year with no deductible probably isn’t a good deal either. One has to weigh the benefits of a lower premium with the lower benefits that usually come with that lower premium. You shouldn’t rule out an insurance policy just because it has a moderate deductible, often the lower cost makes it a good deal. One way to see which plan is best is to figure out what your total costs would be in two or three scenarios. 200,000 of expenses in the same year. This takes some work, but it is one of the best ways to determine which plan would be best for yourself and your family. Determining which healthcare insurance policy is best for yourself and your family can take some thought and some math, but making the right decision is important. Having the right health care insurance policy when a calamity strikes can make a world of difference to both your physical well-being and your ability to avoid a personal financial disaster. The author, Alston J. Balkcom is an insurance veteran who has been an insurance agent for over 2 decades. You can find Georgia Group Medical Insurance information on his websites. You can also find cheap health insurance for students information.
Have you lived a life of just eating what you want and relaxing and not getting the proper exercise that you need? You might even be one that has cooked meals for your family and has done a half hearted attempt to eat healthy in your home. You will have the treats, but expect your family to also eat their fruits and vegetables. Everyone is at different places in their lives as far as how they eat and how healthy they feel. There comes a time in most people’s lives that they realize they need to do something to feel better. They realize that they need a healthier lifestyle. For some they start to have stomach aches or headaches pretty frequently. For others they start to realize that their weight is taking a toll on their knees and on everything that they do. Then there are others that have been hit with some kind of illness that wakes them up so that they recognize that they need to make lifestyle changes. At that point there are several things that people have to consider.
They need to think about their daily schedule and what things they can change. They need to make some time to exercise and even get a little more sleep. For others they realize that the stress in their lives is a big factor in how they feel. They need to figure out how to balance the stress in their lives. These are all things that many people recognize and can find a way to do to change. Then there is the one thing that gets many people and that they struggle with the most and that is what foods to eat. They think they are eating pretty healthy and are doing the obvious things like cutting out sweets or not eating after a certain time at night. Then there are those that realize they need to start eating breakfast more often. For others they realize they need to give up some of the soda pop and start drinking a little more water. These are the obvious things, but even with all of these changes you might not get to feeling better. There are definitely foods that can help you feel better and will work for you. Sometimes the best thing that you can do if you are in this situation is to do some nutrition counseling. You will be amazed at what you will learn and how much you can change and do to really help you feel better. The exciting part about choosing a healthier lifestyle is that you can get feeling better and get your life moving in the right direction. Through education, nutrition counseling, eating nutritious foods and exercising regularly, you can make health improvements that can last a lifetime.