Authorities allege the woman billed for physical therapy services that were never provided or couldn’t have occurred within the timeframe patients were at her Saint Paul clinic.
Tammy Lynn Saphir, of Maple Grove, is charged with four counts of theft by false representation tied to alleged Medicaid fraud spanning from January 2020 through July 2021. Prosecutors say the scheme resulted in more than $102,000 in improper payments.
According to the criminal complaint filed earlier this week in Ramsey County District Court, Saphir is a licensed physical therapist who worked at Lexington Rehabilitation Center in Saint Paul. Investigators with the Minnesota Attorney General’s Office Medicaid Fraud Control Unit allege Saphir worked with clinic and billing staff to submit false claims for reimbursement through Minnesota’s Medical Assistance program. The claims were paid by UCare, a managed care organization that administers Medicaid benefits on behalf of the state.
Authorities say the fraudulent billing involved multiple methods. Investigators allege Saphir routinely billed for more units of therapy than could have been provided based on the amount of time patients were present at the clinic. In some cases, claims reflected far more therapy minutes than were possible during a patient’s documented visit. In other instances,...
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