WHY COMM. PENNAMON WANTS EMS AUDITED

August 30, 2015

Debria Murphy headshot

Debria Murphy EMS billing clerk

 

 

Comm. Pennamon questioned the auditor about EMS and why more details were not included in the FY14 audit. He seemed to be concerned about the increase in accounts receivable.

 

He should be concerned about a lot more than that….changes to Patient Care Reports, Medicare/Medicaid billings, payroll errors, violations of personnel policy, and violations of HIPPA regulations.

BACKGROUND

In March 2014, Debria Murphy was hired by Karen Degges to be the “EMS auditor”. Money wasn’t coming in to EMS as Ms. Degges expected; however, Debria Murphy was not an auditor and had never been an auditor. This was only a ploy to fire Kathy Skinner (an 11 year employee) and to hire Debria Murphy who had worked with James Gregory for 12 years in Putnam County.

In September 2013, Putnam County had to pay back $9617.04 to Medicaid/Medicare for EMS billing and documentation errors while Debria Murphy was the EMS billing clerk. Ms. Murphy resigned from Putnam County 1/24/14. She didn’t do well as the EMS billing clerk in Putnam County according to their audit:

  • 74% of all the billing was over 150 days old which amounted to $1,487,477 and the total Receivables were $1,937,000.
  • Contractual adjustments (insurance, Medicare and Medicaid) were not written off properly
  • Cash collections were not applied to the outstanding balances, and
  • Remitting to third-party payors was not done in a timely manner.

See audit page here.

All these things have been brought to the attention of the Jasper County BOC previously—when Debria Murphy as “auditor” had Ms. Skinner fired by saying she wasn’t doing her job.

So where does Jasper County stand as of the FY14 audit? Let’s look at the comparisons:

  • EMS Calls                      FY13    1,480               FY14 1,423
  • Trucks in service                    2                               3
  • Charges for service       FY13 $798,000           FY14 $663,000
  • EMS Receivables           FY13    $67,827           FY14   $88,076
  • Receivables as a % of charges       9.0%                           13.3%

                           Figures obtained from Jasper County audit

During Ms. Skinner’s termination hearing, the citizens and BOC were all told more money would be coming in because Ms. Murphy knew how to bill “correctly”.

How does Ms. Murphy bill?

EMS personnel turn in PCR’s or Patient Care Reports to show what all was done by the EMS crew. There have been complaints that Ms. Murphy has asked EMT/Paramedics to change the PCR’s so she could bill differently. If this is happening, it is insurance fraud!

Ms. Murphy also told Mike Benton, and he repeated it during a finance presentation, that there was trouble “all over the state” with Medicare/Medicaid billing and that’s why income wasn’t coming in, but all that would be soon corrected. We cannot verify if this is true or just an excuse.

 HIPPA Violations can result in heavy fines

“Auditor” Debria Murphy was not a county employee, and was not a real auditor, when she was allowed by the County Manager, Karen Degges, to go through personal medical files and even take them out of the office, violating HIPPA regulationsWhere the EMS billing office is located since Ms. Murphy took over also violates HIPPA regulations because people can and do go in and out of that office. Ms. Skinner warned both Ms. Degges and Ms. Murphy about these violations to no avail.

Violation of personnel policy

Ms. Murphy holds 2 jobs with the county and gets paid overtime for anything over 40 hours. She works as an EMT and sets her own schedule. She also works as the billing clerk as part of the new finance department set up by Karen Degges. No other county employee is allowed to hold two jobs, and despite this being brought up to the BOC more than once, nothing has changed. (They didn’t listen to complaints about Sherry Braley either.)

Ms. Murphy is in charge of turning in EMS payroll information. In months past she made several errors on paychecks. To make sure no one found out, she told EMS personnel affected she would just write them a check out of her personal account for the difference. At least one EMT took her up on this offer. Another told her “no way” and even reported this to Comm. Trammell; however, nothing was done about it, and it took several pay periods before that EMT was paid for the time missed by Debria Murphy.

Cash and other collections need to be audited—by a real auditor—and so do the submissions to Medicare and Medicaid.

With 2 instances of theft of county monies already caught and employees arrested, the BOC needs to step up and take notice of what is going on in EMS. Collections are down, receivables are up, overtime is soaring, morale is down.

Comm. Pennamon is right; EMS needs to be audited in more detail and so does any other department with cash going in and out, such as Landfill and Recreation. Controls have been lax and despite complaints and facts being presented to the BOC, nothing is done to check, review, and set higher standards and controls.

Debria Murphy’s handling of her job should be under strong scrutiny—

  • Higher receivables and lower collections means less money for the county
  • HIPPA violations
  • Violation of personnel policies
  • Possible fraud if changes to PCR’s submitted by EMT’s are made
  • Payroll errors being covered up

 

Here is a copy of the email (letter) written to the BOC in April 2014 by Kathy Skinner, outlining both possible HIPPA violations and billing fraud by Debria Murphy.

Click here to read letter.

Commissioners, don’t say you didn’t know or had no way of knowing when things blow up. You have been told more than once and by more than just TWG. Do something—vote to have an immediate audit of EMS collection and billing procedures, and then expand it to all cash collection areas in the county.

TWG

http://www.taxdogs.wordpress.com

http://www.facebook.com/taxdogs

 

 

 


Advertisements
This entry was posted in County, EMS and tagged , , , , , , . Bookmark the permalink.

7 Responses to WHY COMM. PENNAMON WANTS EMS AUDITED

  1. ash says:

    Debria and James both need to go. James has horrible leadership skills and does nothing to help the medics and emts that work there. James has stated more than once that she has the “alpha female” attitude and has to have her power trip and the others are just supposed to let her. She needs to go back to Putnam County and take James with her. She is doing this county no good and deserves to be fired and her emt license revoked because she is not a competent emt. She has a horrible bedside manor and absoulutley hates the volunteer fire department and anyone who asks about them.

  2. Jerry says:

    EMT’s have been afraid of losing their jobs if they come forward and tell what has been going on. Jasper County has lost many truly excellent paramedics at the hands of James Gregory and Debria Murphy. I know many people that have friends that work as EMT’s. The incompetence of what is called leadership at EMS and Fire is disgraceful. Good people can’t work with such incompetence. Commissioners have been told what is going on and nothing ever changes.

    • Jasper County Runs A Deficit in Leadership says:

      Leadership begins at the top. To paraphrase an old truism, incompetence runs downhill.
      What this county needs are some old fashioned bosses willing to roll up their sleeves and administer some “come to Jesus” disciplinary action,but instead what we have are five effeminate sycophants whose only objective is to rub elbows and follow the orders of a small clique of self-serving debt pimps.The call this obsequiousness to special interest influence, moving the County “Forward,”
      The only act that will right this ship of blubbering milquetoast masquerading as county government is to put effective leadership in place and to do that five seats need to be emptied.

  3. Where are our commissioners says:

    Are the commissioners so inept at their jobs that they don’t know how to handle these issues or do they think ignoring these problems will cause them to go away all by themselves?

    Mr. Luke stated in a recent commission meeting: “It is crap to say that employees don’t want to do a good job”. Ms. Degges fired 16 employees during her reign as county manager. I don’t recall Mr. Luke, or any of the other commissioners, standing up for even one of those fired by Ms. Degges. We have heard is said that Ms. Degges had used lies to fire good, long time employees to make way for her “cronies”, yet the commissioners remained silent.

    Will the BOC finally do something about Ms. Murphy and the various violations or will it take a law suit or criminal investigation before they wake up?

  4. Time for truth says:

    Paying someone out of your own personal account is a firable offense, it is illegal because the proper taxes etc not taken out, I’m disturbed that commissioner tramell knew about it and did nothing, but yet continued to allow Karen Degges to fire others for any reason she wanted. Let’s see what the commissioner’s do about this, hopefully Debra will get the same proper punishment that Karen did, TERMINATION!!!!!!

  5. J. Ross Hays says:

    These are VERY serious allegations! Medicare/Medicaid Fraud could result in HUGE fines and Jasper County EMS being added to the Office of Inspector Generals Exclusion List. This would bar Jasper County EMS from billing Medicare/Medicaid INDEFINITELY. These things do get caught:

    http://law.ga.gov/press-releases/2015-04-23/grady-health-system-pay-over-29-million-resolve-improper-medicaid-billing

  6. Steve says:

    No wonder Putnam got rid of her. Mr. Gregory hired her and he should fire her. Then Mr. Gregory should go too.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s