Louisiana: Law Enforcement Arrests Wealthy New American for Scamming Medicaid

Naji Abdelsalam.jpg
Naji Khlaed Abdelsalam, 33 (Photo from Attorney General’s Office)

There must be a lot more to the story of Alexandria, Louisiana business owner Naji Khlaed Abdelsalam’s activities than we are being told here.

The State Attorney General’s Office has Abdelsalam in custody along with four other Medicaid fraudsters lumped together in a recent press announcement.

But personal information doesn’t seem to fit for him.

Continue reading “Louisiana: Law Enforcement Arrests Wealthy New American for Scamming Medicaid”

Connecticut Psychiatrist Agrees to Repay the Feds over $3 million under False Claims Act

“…we will hold accountable providers who submit false claims to Medicare and receive payments to which they are not entitled.”

(Special Agent in Charge Phillip Coyne of the U.S. Department of Health and Human Services)

 

Medicare fraud US map

 

Dr. Bassam Awwa, educated in Syria and affiliated with Yale University has settled a claim by the government that he billed Medicare and Medicaid multiple times for the same test at his Connecticut Behavioral Health Associates, a clinic for substance abusers.

The news is here at the US Attorney’s Office Connecticut District.

I was looking to see if a whistleblower was going to get a reward for turning in the ‘new American’ doc under the False Claims Act, but don’t see that mentioned.

Continue reading “Connecticut Psychiatrist Agrees to Repay the Feds over $3 million under False Claims Act”

ACLU Jumping for Joy as Iowa Supreme Court says Medicaid Dollars can go to Transgender Surgery/Care

Advocates believe the decision is the first by a state’s highest court to hold that transgender people have the right to use public money for transition-related surgeries.

Iowa ACLU lawyer
ACLU of Iowa Legal Director Rita Bettis, left, joins Carol Ann Beal, one of two transgender women suing Iowa over its ban on Medicaid coverage for transition-related medical services, during a news conference Thursday, Sept. 21, 2017, in Des Moines when the case was filed.   Photo: Des Moines Register

 

The federal government defines Medicaid as follows,

Medicaid provides health coverage to millions of Americans, including eligible low-income adults, children, pregnant women, elderly adults and people with disabilities. Medicaid is administered by states, according to federal requirements. The program is funded jointly by states and the federal government.

And, according to the feds last analysis 65.9 million (‘poor’) people are covered. That is over 20% of the entire US population!  And, if the ‘progressives’ at the ACLU have their way that number will rise.

I’ve been writing about Medicaid (and Medicare) fraud, and this is one more example of the expansion of these fraud-ridden programs as part of the Left’s agenda to move America toward a socialist form of government.  (Don’t miss Leo Hohmann’s call to arms in my previous post.)

Continue reading “ACLU Jumping for Joy as Iowa Supreme Court says Medicaid Dollars can go to Transgender Surgery/Care”

Colorado Pharmacist on the Run after Bilking Medicare/Medicaid out of Nearly $8 Million

The Arapahoe County Sheriff’s Office made former pharmacy owner George Sackey one of its featured fugitives of the week.

George Sackey

 

I did do some digging about Sackey and although nothing about his immigration status and nationality came up, there are many many Sackey’s originating in Ghana.

Here is a bit about Sackey and his “community” pharmacies at LinkedIn,

Free consulting services to the Colorado African population and the general public as a whole.

My goal is to provide as much help as possible to the underprivileged who otherwise may not be as fortunate and blessed as I’m (sic). It is also a way to give back to the community.

My suspicion is that Sackey is a ‘new American’ entrepreneur who has now apparently skipped the country after cutting off his ankle monitor.

Continue reading “Colorado Pharmacist on the Run after Bilking Medicare/Medicaid out of Nearly $8 Million”

Corporate Whistleblower Center Looking for Partners

How cool is this!  The entrepreneurial spirit is alive and well!

Regular readers know that I’ve been telling you about scams involving Medicare and Medicaid that are often perpetrated through long term care facilities for the elderly or disabled.

NURSING-HOME-FRAUD
Nursing home fraud on the rise:  http://civil-law.com/blog/nursing-home-fraud-studies-expose-little-known-risk/

 

And, I’ve told you that if you help the government find the fraud, you can make money if the government recovers funds stolen from taxpayers.

Now here comes a group banding together to go after this fraud with the lure of making money AND making yourself such a hero you could run for Congress!

That last part made me laugh because I’ve said on previous occasions that one could craft a whole campaign for elected office around the goal of exposing fraud, waste and abuse involving taxpayer dollars.

From PR Newswire,

Corporate Whistleblower Center Now Goes After Nursing Homes Ripping Off Medicare/Medicaid From California to Florida for Whistleblower Rewards and a Physician or Investor is Invited to Participate as a Partner-Become a Local Hero-Make Money

 

The Corporate Whistleblower Center says, “We have just launched our most ambitious initiative ever to go after nursing homes, skilled nursing facilities, rehab centers and or acute care facilities that are overbilling Medicare or Medicaid for services that were never performed, and we need some financial partners in some specific states. When we say ‘services never performed’ we are referring to facilities that are so understaffed their patients are prematurely dying. Short staffing is the foundation and starting point for our state specific whistleblower reward initiatives. While these types of healthcare facilities might be extremely understaffed-they are billing Medicare or Medicaid as if they are fully staffed.

“We are inviting a successful physician, dentist or an investor in one of our targeted states such as California, Florida, Pennsylvania, Illinois or Ohio to financially participate in this venture and to share in the whistleblower rewards. A medical doctor/dentist or investor who financially participates with us in one of the states we have mentioned could probably run for Congress in a couple years after the notoriety they will gain for their participation in our initiative as we would like to discuss with them anytime at 866-714-6466. We also want to emphasize this initiative is very focused on making certain our financial partners make money.”

Go here for more to see additional states the group plans to target!

Of course, I am not advocating for this new ‘business’ model just bringing you news you might find of interest.

question markYou know what you need to do, right!—keep an eye on granny (or any family member) who resides at a long term care facility to assure that they are being cared for properly and that there is no financial funny-business going on with Medicare or Medicaid. Report suspicions of fraud or medical abuse!

 

 

Cab Company Owner Pleads Guilty to Stealing from Medicaid, Other New Americans Made Him Do it!

According to the US Department of Justice:

Arshad Nazir, age 54, of Ticonderoga, New York, pled guilty to conspiring to defraud Medicaid, and conspiring to pay bribes and kickbacks to Medicaid beneficiaries who used his medical transportation service. He admitted to causing at least $550,000 in losses, and to paying at least $95,000 in bribes and kickbacks.

medicaid fraudNazir’s lawyers say other cab companies run by other ‘new Americans’ made him do it in order to stay competitive (I kid you not!).

Here is a recitation of the charges against him from the local The Post-Star, including a mention of the defense that he previously was a good guy before he was a bad guy!

 

Cab Company Owner Pleads Guilty in Ticonderoga Case

 

He admitted to causing at least $550,000 in Medicaid program losses through false filings, and to paying at least $95,000 in bribes and kickbacks. In all, his company received $2.45 million in Medicaid payments between 2014 and 2018, according to the U.S. Attorney’s Office.

no-phot-avail
Nazir, whose company was known as Avalanche Taxi Co., faces up to 10 years in federal prison when sentenced June 18 by U.S. District Judge Thomas McAvoy. He also will be required to make $550,000 restitution.

[….]

According to prosecutors, Nazir admitted that he committed a variety of fraudulent acts involving Medicaid and the state Department of Health, including:

Billing Medicaid and receiving payment for trips where beneficiaries drove themselves to their own medical appointments

Falsifying the identities of the drivers for those trips.

Billing Medicaid and receiving payment for round trips to and from medical appointments when the beneficiaries took only one-way trips with Avalanche Taxi.

Falsifying pick-up and drop-off locations in order to increase the purported distances traveled and therefore be able to claim and receive higher Medicaid payments.

Nazir also admitted that he agreed to pay kickbacks and bribes to Medicaid beneficiaries in order to get the beneficiaries to schedule and keep scheduling medical transportation appointments with Avalanche Taxi. Those kickbacks included cash, cigarettes and tobacco, and free goods at Nazir’s convenience store in Ticonderoga.

His lawyer, Kevin O’Brien, said Nazir ran a legitimate taxi business for years, but when others moved into town and used fraudulent practices to take his business, he followed.

Now have a look at the names of some of the other cab company owners who apparently “moved into town” to compete with Nazir in the Medicaid transport business!

Charges are still pending against others who were involved in the scheme, including four other Ticonderoga cab company owners, Qaiser “Kaz” Gondal, 46; Khalid M. Chadder, 49; Waqas Nauman, 37; and Khurram Gondal, 39.

More here.

And, don’t miss this!

An earlier US Dept. of Justice press release lists more names of ‘new American’ entrepreneurs investigated in Ticonderoga and neighboring towns in welcoming New York!

No time for the ‘Secret Decoder Ring’ investigation today, but if anyone knows where Mr. Nazir is from and what his immigration status is, let me know!

Massachusetts: Just Another ‘New American’ Doctor Caught Cheating Medicare/Medicaid

This is a story like so many and wouldn’t have been worth mentioning except that it was fun to find out a little bit about the perpetrator. 

medicaid fraud

The joke of course is that a story like this never mentions anything about the background of the alleged crook and as Ann Coulter said one needs a “secret decoder ring” to learn more about someone with a name like this one—-Dr. Hooshang Poor.

(I searched for a photo of Dr. Poor, but gave up.)

Below is the news of Dr. Poor’s settlement with the government over his Medicare/Medicaid fraud.

From Patch.com,

Newton Doctor Accused Of Fraud To Pay $680K In Settlement

 

NEWTON, MA – A Newton doctor has agreed to pay $680,000 to resolve allegations that he violated the False Claims Act by submitting inflated claims to Medicare and the Massachusetts Medicaid program (MassHealth) for care to nursing home patients, the US Attorney’s Office and the Attorney General announced Thursday.

Mass Health logo

“This doctor stole hundreds of thousands of dollars from MassHealth – taking away health care resources for those who are most in need,” said Attorney General Maura Healey in a statement. “We will continue to take action to defend the integrity of MassHealth and protect Massachusetts residents.”

Hooshang Poor, who has been treating patients in long-term care facilities since 1987, was audited by MassHealth and the state in 2017. The government contends that, between June 1, 2011 and May 31, 2017, Poor submitted inflated claims for nursing home care by assigning false procedural codes that overstated the length, extent, and scope of services he and his employees furnished to nursing home residents, according to the government in the settlement agreement.

“Dr. Poor enriched himself at taxpayer expense by improperly billing Medicare and Medicaid,” said United States Attorney Andrew E. Lelling in a statement.

The US Justice Department statement is here.

Then get this next charge.

He billed for services even while he was out of the country on ten trips!  My first thought was:  Did he take our taxpayer dollars abroad?

The audit also found that Poor billed MassHealth for more than $15,000 in services that took place while he was traveling abroad on 10 different occasions.

Dangerous drugs improperly administered!

The government said Poor did not establish proper guidelines for his staff to follow when prescribing medications to their patients and yet during the audit period, Poor’s nurse practitioner and physician’s assistant wrote 657 prescriptions, including 211 for narcotics such as fentanyl, oxycodone, and methadone.

 

More details here, but there is no mention of any jail time for Dr. Poor!

Who is this guy I wanted to know!

US News has a little bio for Dr. Poor and we learn he has been practicing medicine here for 20 years and received his medical training at Shiraz University of Medical Science.

That University is in Iran.  Is Dr. Poor a US citizen?  That is unclear.

We learn a few more nuggets of information at MyLife. We learn that he has used several aliases and that he is a Muslim.

Hooshang Poor is 68 years old today because Hooshang’s birthday is on 03/05/1950. Hooshang’s Reputation Score is 3.42. Before moving to Hooshang’s current city of Newton Center, MA, Hooshang lived in Sunny Isles Beach FL. Hooshang Dadkhahipoor, Hooshang Dadkhahi Poor, Hooshang Dadkhani-poor, Hoo Dadhahipoo and Hoshang D Poor are some of the alias or nicknames that Hooshang has used. Background details that you might want to know about Hooshang include: ethnicity is Caucasian, whose political affiliation is unknown; and religious views are listed as Muslim.

So, LOL! maybe the headline to the story should read, Muslim Doctor from Iran Rips off American Taxpayers.

Of course, that will never happen! But, I can dream can’t I?

I’m increasingly seeing stories about nursing home frauds that usually involve some issues of dangerous drugs being handled improperly, so are you keeping a close eye on loved ones in long term care facilities?

question markAnd one more thing, if you are looking for something to do, contact the reporter or editor of the paper when you see stories of obvious ‘new Americans’ committing crimes and ask why they aren’t telling us any background on the perp?