Archive for the ‘Fraud’ Category

Detroit Home Health Manager Convicted of Fraud

April 18, 2013

The manager of a home health agency in the Detroit area was convicted this week of bilking Medicare of $5.8 million by recruiting patients to fill out forms suggesting they had received services that were never performed, the Department of Justice announced. Nabila Mahbub, 27, the manager of All American Home Care Inc., was found guilty in a Michigan federal court, the twentieth employee or associate of All American convicted in connection with a fraud scheme.

“According to evidence presented at trial, Mahbub doctored and directed the doctoring of fake patient files to facilitate the commencement and billing of home health services purportedly provided by physical therapists and physical therapist assistants working for All American,” according to the DOJ announcement. http://1.usa.gov/ZrXwe0.

Duval County Woman Sentenced to Six Years in Prison for Medicaid Fraud

April 15, 2013

Attorney General Pam Bondi announced today that Edna Lorraine Watkins, owner of Homecare Unlimited LLC, was sentenced to six years in state prison for submitting more than $400,000 in false claims to the Florida Medicaid Program. The State Attorney’s Office for the Fourth Judicial Circuit prosecuted this case, and Watkins entered pleas of guilty to Medicaid Provider Fraud and Grand Theft, both first degree felonies. In addition to the six years in prison, Watkins was ordered to repay the state $402,424 in restitution. (more…)

Miami Patient Recruiter in Medicare Fraud Scheme Sentenced to 3 Years

April 2, 2013

A patient recruiter for a Miami home health company was sentenced to three years in prison for a scheme in which he billed Medicare for unnecessary services in exchange for kickbacks, the Department of Justice announced Monday. The recruiter, Vladimir Jiminez, will also pay $950,000 in restitution, along with the other co-defendants in the case, which centered on a company called Serendipity. “From approximately January 2006 through March 2009, Serendipity submitted approximately $20 million in claims for home health services that were not medically necessary and/or not provided. Medicare actually paid approximately $14 million for these fraudulent claims.” (more…)

AG’s Office Announces Arrest of Levy County Woman for Medicaid Fraud

March 21, 2013

HealthCareFraudThe Florida Attorney General’s office announced this week the arrest of Donna Michelle Smith, a Levy County resident, who is being charged with Medicaid fraud. Smith was a service provider enrolled through the Florida Agency for Persons with Disabilities to provide personal care assistance, companion care and respite services to Medicaid recipients. (more…)

Two Medicare Beneficiaries Found Guilty Of Soliciting Kickbacks In Home Health Care Case

March 20, 2013

medicare fraudA federal jury this week found two Medicare home health patients, Rene Suarez-Basanta, 67, and Marta Gonzalez, 67, guilty of charges related to Medicare fraud. Suarez-Basanta and Gonzalez were paid kickbacks by Safe Home Health Care, a home health agency in Miami, to obtain Medicare beneficiaries for home health services, mostly physical therapy. Conspirators at Safe Home Health Care used the beneficiary information to bill Medicare. (more…)

Former Home Health Aide Accused of Defrauding Greenacres Man

March 15, 2013

By Adam Sacasa, South Florida Sun Sentinel

Louis Schwartz thought blank checks he signed for his aide were going to pay his bills.

But when the Greenacres man, 98, came home after a month in the hospital, his wallet and money from his bank account were missing.

Greenacres Police say the suspects are his former home healthcare aide, Lycille Delmond, 34, of Boynton Beach, and her boyfriend, Bwon M. Coutilien, 23, of Delray Beach. (more…)

Medicare Home Health Patients Get Prison Time For Fraud

February 22, 2013

By Jay Weaver, The Miami Herald

Of the thousands of people convicted of Medicare fraud in South Florida, only a handful have been patients who took bribes.

On Tuesday in Miami federal court, three beneficiaries were sentenced to prison for accepting $600 a month in kickbacks for letting a local home healthcare agency use their Medicare cards to bill the taxpayer-funded program for fraudulent claims. (more…)

AG Announces the Arrest of Jacksonville HHA Owner for $400,000 in Medicaid Fraud

February 19, 2013

Attorney General Pam Bondi today announced the arrest of a Duval County woman accused of stealing more than $400,000 from Florida’s Aged and Disabled Adult Waiver Program. The Attorney General’s Medicaid Fraud Control Unit charged Edna Lorraine Watkins, 34, with two counts of Medicaid provider fraud and one count of grand theft. She is accused of billing Medicaid for services that were never rendered and billing for services to recipients who were ineligible for Medicaid. Some of the people to whom she claimed to have provided services were in jail at the time the services were supposedly rendered. (more…)

Home Health Aide Accused of Stealing From Patients

February 13, 2013

Central Florida 13 news reports that a home health care aide is accused of taking money and personal items from her patients in Lake County. Authorities are now searching for more victims.

Nikita Goodson was arrested Tuesday in Fruitland Park. (more…)

Spotlight Houston: Home Health Care Firms Breaking Rules, Raking in Medicare Dollars

February 12, 2013

By Terri Langford, Houston Chronicle

800px-Panoramic_Houston_skyline

The nation’s Medicare program has dished out $1.25 billion for home-based health care in Houston over four years – and yet nearly every agency that provides nurses, therapists and drugs for the elderly and disabled has violated state and federal standards, a Houston Chronicle investigation has found.

Still, little stops the flow of taxpayer dollars to the nearly 470 companies based in America’s fourth largest city. (more…)