Showing posts with label medicare fraud. Show all posts
Showing posts with label medicare fraud. Show all posts

Monday, September 7, 2015

Authorities arrest 243 people in $712 million Medicare fraud

Editor's note:  This Shark believes with all the crooks who have been reported to the FEDs in Chicago, why was this venue was omitted from arrests? Authorities have only to read the court transcripts of Gore, Tyler, Sykes and Cefalu to see the frauds being perpetrated.  Lucius Verenus, Schoolmaster, ProbateSharks.com

 

Authorities arrest 243 people in $712 million Medicare fraud

Reuters
By Megan Cassella
(Reuters) - The U.S. Department of Justice said on Thursday that 243 people have been arrested across the country, charged with submitting fake billing for Medicare, a government healthcare program, that totaled $712 million.
Attorney General Loretta Lynch described the arrests as the largest criminal health care fraud takedown in the history of the Justice Department.
Those arrested included 46 doctors, nurses and other licensed medical professionals. The charges are based on a variety of alleged fraud schemes, the government said, including submitting claims to Medicare and Medicaid, the healthcare program for low-income individuals, for treatments that were medically unnecessary and often never provided.
The nationwide sweep, led by the Medicare Fraud Strike Force and the U.S. Centers for Medicare and Medicaid Services, involved about 900 law enforcement officials. It's the largest both in terms of the number of those charged and the amount of money lost.
Many of the arrests were in Florida, long an epicenter of Medicare fraud. In Miami, 73 defendants were charged with offenses involving approximately $263 million in false billings.
One mental health facility there billed close to $64 million for psychotherapy sessions that were nothing more than moving patients to different locations, Lynch said in a press conference.
Other cities involved include Houston, Dallas and McAllen, Texas; Los Angeles; Detroit; Tampa; Brooklyn, New York; and New Orleans.
One case in Michigan involved a doctor who prescribed unnecessary narcotics in exchange for patients' identification information, which was used to generate false billings. Patients then became deeply addicted to the prescription narcotics and were bound to the scheme as long as they wanted to keep their access to the drugs.
"In the days ahead, the Department of Justice will continue our focus on preventing wrongdoing and prosecuting those whose criminal activity drives up medical costs and jeopardizes a system that our citizens trust with their lives," Lynch said.
Since 2007, as part of increased efforts to tackle Medicare fraud, federal authorities have charged nearly 2,100 people with falsely billing the Medicare program more than $6.5 billion, according to the Justice Dept. Thursday's arrests bring that total to over 2,300 people who have billed over $7 billion.
(Reporting by Megan Cassella in Washington; Editing by Jeffrey Benkoe and Chris Reese)

Wednesday, August 12, 2015

Owner of Detroit Home Health Care Companies Sentenced to 80 Months in Prison for Role in $12.6 Million Fraud Scheme

Department of Justice
Office of Public Affairs

FOR IMMEDIATE RELEASE
Friday, July 24, 2015

Owner of Detroit Home Health Care Companies Sentenced to 80 Months in Prison for Role in $12.6 Million Fraud Scheme

Editor's note: FEDs, don't forget about the crooks working out of the Probate Court of Cook County.  Lucius Verenus, Schoolmaster, ProbateSharks.com


A Michigan resident was sentenced to 80 months in prison late yesterday for his leading role in a $12.6 million Medicare fraud and tax fraud scheme.  Eleven other individuals have been convicted in this case.
Assistant Attorney General Leslie R. Caldwell of the Justice Department’s Criminal Division, U.S. Attorney Barbara L. McQuade of the Eastern District of Michigan, Special Agent in Charge Paul M. Abbate of the FBI’s Detroit Field Office, Special Agent in Charge Lamont Pugh III of the U.S. Department of Health and Human Services-Office of Inspector General (HHS-OIG) Chicago Regional Office and Special Agent in Charge Jarod Koopman of the Internal Revenue Service-Criminal Investigation (IRS-CI) Detroit Field Office made the announcement.
Mohammed Sadiq, 67, of Oakland County, Michigan, pleaded guilty on March 13, 2015, to one count of health care fraud and one count of filing a false tax return.  In addition to imposing the prison term, U.S. District Judge Denise Page Hood of the Eastern District of Michigan ordered Sadiq to pay $14.1 million in restitution and entered a forfeiture judgment for the same amount, which represents the proceeds traceable to his criminal conduct.
Sadiq owned and directed operations at two home health care companies in Detroit.  In connection with his guilty plea, Sadiq admitted that, working with co-conspirators, he billed Medicare for home health services that were not provided.  Sadiq also admitted to paying kickbacks to patient recruiters in order to obtain the information of Medicare beneficiaries, which he then used to bill Medicare for services that were not medically necessary or were not provided at all.  Sadiq further admitted that he created fake patient files to fool a Medicare auditor by making it appear as if home health services were provided and medically necessary.  Medicare paid $12.6 million for these services.
In connection with his guilty plea, Sadiq also admitted that he received proceeds of the fraud through bank accounts that he controlled, that he withdrew substantial sums for his personal use and that he failed to report these amounts on his individual federal income tax return in 2008.  In total, Sadiq admitted that he owes approximately $1.5 million in taxes, interest and penalties for tax years 2008 through 2010.
This case was investigated by the FBI, HHS-OIG and IRS-CI, and was brought as part of the Medicare Fraud Strike Force, supervised by the Criminal Division’s Fraud Section and the U.S. Attorney’s Office of the Eastern District of Michigan.  The case is being prosecuted by Trial Attorneys William Kanellis, Christopher Cestaro, Brooke Harper and Elizabeth Young of the Criminal Division’s Fraud Section, as well as Assistant U.S. Attorney Patrick Hurford of the Eastern District of Michigan.
Since its inception in March 2007, the Medicare Fraud Strike Force, now operating in nine cities across the country, has charged nearly 2,300 defendants who have collectively billed the Medicare program for more than $7 billion.  In addition, HHS’ Centers for Medicare & Medicaid Services, working in conjunction with HHS-OIG, is taking steps to increase accountability and decrease the presence of fraudulent providers.
15-927
Healthcare Fraud
Updated July 24, 2015

Wednesday, July 20, 2011

City official arrested and charged with Medicare fraud scheme

City official arrested and charged with Medicare fraud scheme


http://northshorelive.blogspot.com/      View victim's videos...


BY FRANK MAIN AND FRAN SPIELMAN Staff Reporters July 20, 2011 2:54PM

Two owners of a Palos Hills home health care business and a suspended podiatrist were hit Wednesday with federal Medicare fraud charges that accuse them of having illegally taken more than $1.5 million in fraudulent Medicare payments. One of the owners of the business, House Call Physicians, is Mohammed Khamis Rashed, who is also a coordinating engineer for the city of Chicago’s Department of Transportation.
Updated: July 20, 2011 5:57PM

A high-level City Hall official was arrested at work Wednesday on charges he was involved in Medicare fraud unrelated to his city job.
Mohammed K. Rashed, 45, of Chicago, is one of three men charged in an alleged scheme involving a home healthcare business Rashed owned with one of the other co-defendants, Bahir H. Khalil, 33, of Palos Hills.
Rashed — a $102,552-a-year coordinating engineer for the city’s Department of Transportation — was arrested Wednesday morning at his city office at 30 N. LaSalle and led out in handcuffs, stunning co-workers.
“It’s a shocker, a bombshell. This guy was a big shooter,” said a City Hall source who knows Rashed and asked to remain anonymous.
Rashed and Khalil, owners of House Call Physicians LLC, are accused of Medicare fraud of more than $1.5 million and of an illegal attempt to obtain a work visa for Khalil, according to a federal complaint unsealed Wednesday.
Khalil, the manager of House Call Physicians, is a native of Syria and a Canadian citizen who is not authorized to work in the United States, prosecutors said.
The alleged scheme involved billing for services as if they were performed by physicians when they were really done by physician assistants.
The defendants allegedly billed for podiatry services as if they were performed by a licensed podiatrist — when they were actually carried out by a third defendant, Paschal U. Oparah, 46, of South Holland, whose podiatry license was suspended.
Prosecutors also say the company falsely certified that patients were eligible for home health services and billed Medicare for unnecessary medical services.
A former House Call physician secretly recorded conversations with Khalil, prosecutors said. A physician assistant also cooperated in the investigation.
House Call Physicians opened in 2006, and the fraud took place from 2008 to this March, prosecutors said.
Rashed works closely with aldermen on lighting projects in the city’s 50 wards.
“This guy is a professional engineer in charge of other engineers. He’s supposed to be involved in designing lighting systems. He works with outside engineering firms and outside contractors. He works closely with aldermen on the lighting projects tied to their aldermanic menus. To have him led out of the office in handcuffs is stunning,” the City Hall source said.

Please read complete article at link below:


http://www.suntimes.com/6614706-417/city-official-arrested-and-charged-with-medicare-fraud-scheme.html

Updated 7-21-11 5:41 A.M.

http://www.chicagotribune.com/news/local/ct-met-medicare-fraud-20110721,0,5075069.story

Frank and Fran: Please don't waste your time on Mohammed and Bahir.  Just spend a day on the 18th floor of the Daley Center in the Probate Court of Cook County.  Your Probate Shark will give you a tour and point out which judges are on the take along with the "everyday" Medicare fraud that you may observe. One 99 year old nursing home resident had her one X-ray billed four times and Medicare paid it...without question.  Lucius Verenus, Schoolmaster, ProbateSharks.com