Manhattan-New Lenox TRIAD Announces August Program - Medicaid Fraud

August TRIAD meeting will be dealing with Medicaid Fraud. What is Medicaid? Who are providers? What is Medicaid Fraud and examples of Medicaid Fraud?

                                   Manhattan-New Lenox TRIAD

                                    Announces August Program

                                             Medicaid Fraud


The Manhattan-New Lenox TRIAD for Seniors would like to invite senior citizens (age fifty and up) from the area to attend their monthly meeting on Thursday, August 23, 2012, at 1:30pm, at the Village of New Lenox Village Hall Community Room located at: One Veterans Parkway (located in the Village Commons) in New Lenox.

The members of TRIAD would like to announce that Special Agent Pamela Janecek representing the Illinois State Police Fraud Control Bureau located in Tinley Park, Illinois, will be speaking to us about Medicaid Fraud. Please join us.

 Did you know that…

  • Medicaid is a federal/state cost-sharing program that provides health care to people who are unable to pay for such care. 
  • Medicaid providers include doctors, dentists, hospitals, nursing homes, pharmacies, clinics, counselors, person care/homemaker chore companies, and any other individual or company that is paid by the Medicaid program.  

Medicaid Fraud:

  • If a provider intentionally misrepresents the services rendered, and therefore increases the reimbursement provider fraud has occurred.

Examples of Medicaid Fraud:

  • Billing for any services not actually performed, known as phantom billing;
  • Billing for a more expensive service than was actually rendered, known as upcoding;
  • Billing for several services that should be combined into one billing, known as unbundling;
  • Billing twice for the same medical service;
  • Dispensing generic drugs and billing for brand-name drugs;
  • Giving or accepting something in return for medical services, known as a kickback;
  • Bribery;
  • Billing for unnecessary services;
  • False cost reports;
  • Embezzlement of participant funds; and
  • Falsifying timesheets or signatures in connection with the provision of personal care services.

This is just a small amount of the information that will be discussed at our presentation. You will also learn: How Medicaid fraud affects you;  How you can spot Medicaid fraud; How you can report Medicaid Fraud or abuse and neglect.  Please join us on August 23rd, 2012 to learn this and much more.   Any questions call Kathie at New Lenox Township, 815-485-6431.


What is TRIAD?     The TRIAD Program is run by Sheriff Paul Kaupas and the Will County Sheriff's Office. 

What does TRIAD mean?  TRIAD means a three-way commitment among local and county law enforcement and senior citizens.  They agree to work together to reduce the criminal victimization of the elderly and enhance the delivery of law enforcement services to older persons.  

A major purpose of TRIAD is to develop, expand and implement effective crime prevention and education programs for senior citizens in our community.  

What and Who is TRIAD of Will County and TRIAD of Manhattan-New Lenox? 

  • TRIAD is cooperation between law enforcement agencies and senior citizens.
  • TRIAD strives to reduce criminal victimization of older persons
  • TRIAD assesses the needs and concerns of older citizens.
  • TRIAD leads to a broad dialogue on safety and security issues
  • TRIAD is the link with elderly members of the community 

The Manhattan-New Lenox TRIAD has also added representatives from the New Lenox Fire District, the Manhattan Police and Manhattan Fire Department, the Illinois State Police Medicaid and Fraud Control Bureau, the New Lenox Park District, New Lenox Public Library,  New Lenox Community Television Channel, New Lenox Township Offices as well as senior citizens from our area who come together to inform and empower the senior citizens of our community by providing information regarding their health and safety.

The Manhattan-New Lenox TRIAD is also excited to announce that New Lenox Community Television will be there to video-tape and air the presentation on Channel Six our New Lenox Community Television channel.   So please check out the television listings for date and time of the program on Channel Six.  

If you have any questions regarding this month’s presentation or about the TRIAD or joining TRIAD, please call Kathie Johnson at New Lenox Township, phone number     815-485-6431. The Manhattan-New Lenox TRIAD meetings monthly on the fourth Thursday of each month at 1:30pm at the New Lenox Village Hall Community Room located at:  One Veterans Parkway in New Lenox. 

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