WEST MEMPHIS, Ark. (WMC) – A West Memphis woman must pay more than $11,000 in restitution and serve five years of probation after a jury found her guilty of billing Medicaid for at-home services she never provided.
Arkansas Attorney General Tim Griffin announced Friday that 40-year-old Kimberly Rios has been convicted of one count of Medicaid fraud—a Class B felony.
In addition to $11,317.25 in restitution, Rios must also pay a $500 fine and court fees.
AG Griffin says Rios filed claims for in-home personal healthcare services to multiple clients that were not provided as she reported.
Records proved that she was not at or near patients’ homes at times she claimed to have been there, and that she then billed Medicaid for that unworked time.
“Those who attempt to cheat Medicaid for personal gain will be prosecuted and held accountable,” Griffin said in a statement.
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HOW TO SPOT A “RED FLAG” (THE BEHAVIORAL AUDIT)
Keep an eye out for these behavioral shifts in your staff:
Refusal to take leave: Afraid someone will find their “adjustments.”
Unexplained wealth: Buying luxury items that don’t match their known salary.
Working odd hours: Preferring to work alone late at night when no one is watching the system.
“Gatekeeper” behavior: Becoming overly defensive or angry when someone asks to see their records.