KANSAS CLAIMS PROCESSOR PLEADS GUILTY TO FALSIFYING MEDICARE
Submitted by Robin Mathias on Wed, 01/12/2005 - 11:26am. Fraud Cases | Links to Press Releases
Topeka, Kan. – United States Attorney Eric Melgren announced that Melissa Cyr, 24, Topeka, Kan., has pleaded guilty to making false statements relating to health care matters. She entered a plea Jan. 11, 2005, before U.S. District Judge Sam A. Crow in Topeka, Kan. In her plea, Cyr admitted that she fraudulently received more than $4,500 in bonuses by falsifying computer entries to Medicare records. Cyr was employed by Blue Cross/Blue Shield of Kansas as a Medicare Secondary Payor claims processor during the period from May 1998 to January 2004. Blue Cross had a practice called the Employee Performance Incentive Program that paid quarterly bonuses to employees who exceeded quotas for the number of claims processed and yearly bonuses to employees for outstanding department performance. To save two to five minutes on each form she processed, Cyr changed a computer code to make Medicare the primary payor instead of the secondary payor. As a result, she received $4,600 in bonuses to which she was not entitled.