New Orleans author, nurse indicted on charges of healthcare fraud

 

A New Orleans nurse who authored a series of children’s books was indicted by federal authorities Thursday on six counts of health care fraud.

According to documents filed in U.S. District Court in New Orleans, Scharmaine Lawson Baker, a 56-year-old nurse practitioner, submitted more than $12 million in bogus Medicare claims, getting reimbursed for $1.5 million.

Prosecutors allege that for 12 months beginning in October 2018, Lawson Baker took bribes from a Utah company and, in exchange, had her private nursing practice submit claims for genetic testing for cancer.

The company, which the indictment does not name, placed ads on social media saying the tests would screen for patient’s risk of certain cancers, though the indictment says such tests are not covered by Medicare because they don’t diagnose a disease or condition. And in the limited circumstances when such tests are covered, they need to be ordered by a physician, the indictment says.

The testing was advertised as costing participants little to no money, and Lawson Baker would speak with them for only about one minute before submitting the claim, the indictment says.

“The orders were induced by the payment of kickbacks and bribes, not the product of a doctor-patient relationship and examination, not medically necessary and not eligible for reimbursement by Medicare,” prosecutors wrote in the indictment.

The alleged kickbacks and bribes, which the indictment does not quantify, were referred to by the company as “network-based consultations.” The indictment says Lawson Baker did not account for those payments on a 2019 bankruptcy petition she filed in federal court, which prosecutors say was an effort to conceal them because she knew they were illegal.

Lawson Baker has published more than 30 books, according to her Amazon.com author profile. These include her children’s book series, Nola the Nurse, as well as Housecalls 101, in which she gives other nurse practitioners tips on how to begin their own practices.

In or around 2014, Lawson Baker also published a book about Medicare rules and regulations, according to the indictment. On her website, Lawson Baker offers webinars ranging from $25 to $300 dollars a course, in which she teaches the content in her book, Housecalls 101.

Lawson Baker awaits arraignment in U.S. District Court of the Eastern District of Louisiana. Her listed attorney, Clarence Roby, Jr. did not immediately respond to a call for comment.

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