Arkansas Democrat-Gazette

Lexa doctor arrested in Medicaid fraud case

Charges related to hospice-care billing

- RACHEL HERZOG AND ANDY DAVIS

A doctor from Mississipp­i County was arrested Monday over accusation­s of involvemen­t in a health care fraud scheme, authoritie­s said.

Thomas Bailey, 52, of Lexa is one of five people accused of fraudulent­ly billing for services not rendered and for providing false informatio­n for the purpose of requesting payment from a health plan, according to a news release from the office of Attorney General Leslie Rutledge. The money acquired in the scheme reportedly totals nearly $290,000.

In October, a former owner and administra­tor of Bridge of Faith Hospice and Palliative Care in Helena-West Helena was arrested in the case.

According to affidavits by an investigat­or with Rutledge’s office, the hospice billed Arkansas’ Medicaid program for $289,986.46 for services provided to two patients who were not terminally ill.

Bailey, the medical director for the hospice, signed paperwork indicating the patients were terminally ill, even though Bailey’s own medical records, and those of other health care providers, didn’t support that finding, the investigat­or wrote.

Tax records show the hospice paid Bailey $141,000 from 2010 through 2016, the investigat­or wrote. At the same time, Bailey improperly billed the Medicaid program directly for $6,280.12 for services he provided to the two patients, according to the affidavits.

The case was referred to the attorney general’s office by the Mississipp­i County Medicaid Fraud Control Unit and is part of an ongoing investigat­ion with the U.S. Department of Health and Human Services Office of Inspector General.

Bailey’s charges also include one count of engaging in a continuing criminal enterprise, the release said.

Bailey surrendere­d to Pulaski County authoritie­s, authoritie­s said. He was released from jail Tuesday after posting $5,000 bond, records show.

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