Tag Archives: Paradigm

TennCare Fraud Lawsuit Involving Nursing Homes Resolved

News release from attorney general’s office:
Attorney General Bob Cooper and U.S. Attorney Jerry Martin today announced Tennessee will receive $112,000 as part of a civil TennCare fraud agreement with two Florida-based providers of mental health services to nursing home residents. In addition to the money recovered for the TennCare program, the United States Attorney’s Office for the Middle District also recouped $108,000 on behalf of the Medicare program.
Named in the case were Paradigm Health Services, Inc. and Paradigm Health, LLC. The lawsuit and subsequent agreement stems from the fraudulent actions of a former Paradigm employee and Licensed Clinical Social Worker, Renee Vaughn.
State and federal officials allege that from 2003 through 2006, Vaughn billed TennCare for therapy sessions for Tennessee nursing home residents, but did not provide any meaningful service to the residents. Specifically, TennCare received multiple bills for 20 minute therapy sessions when in fact Vaughn had spent only moments with the patient.

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