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? 

 

Tennessee: Doctor/Pastor Indicted in Massive Drug Sting at Pain Clinic

Although the 45-count indictment occurred in December, good for The Tennessean to now publish this substantial story about a Nigerian ‘new American’ alleged crook.

Editor:  I should subtitle posts like this:  ‘when new Americans kill us!’

Here is the news (hat tip: Tomarose),

Tennessee pain clinic handed out opioids at ‘cattle calls’, says undercover federal agent

It was October 2017 when the undercover federal agent slipped into the Clarksville pain clinic for the third time, hiding in plain sight among dozens of patients crowded into a small waiting room.

A receptionist called out 20 names, then the agent lined up with other patients.

They were each handed a prescription slip. Then they waited. A few hours later, the receptionist called their names again, collected their money and handed all of them drugs.

The undercover agent paid $377. He left with 84 Oxycodone tablets, an anti-inflammation drug and a muscle relaxant. Nobody bothered to examine him. He never saw a doctor.

This is how federal prosecutors say prescriptions were handled at the clinic of Samson Orusa, a Middle Tennessee doctor and pastor who allegedly wrote 66,353 prescriptions for addictive drugs, including opioids, from 2014 to 2017.

Orusa was indicted on charges of drug trafficking and healthcare fraud last year, and his attorney has vowed to fight the allegations in court.

samson-and-abigail
Orusa, 56, has for about 20 years run a medical practice in Clarksville [50 miles Northwest of Nashville] and been pastor at God’s Sanctuary Church International, which he runs with his wife, Abigail, who uses the church title of “prophetess.” Orusa attended medical school at the University of Benin in Nigeria and performed his residency at Columbia University in New York, according to a state licensing database.

Federal court records, recently obtained by The Tennessean, describe the investigation in more detail than ever before, revealing undercover agents visited Orusa’s clinic five times in 2017.

Investigators also logged when Orusa came and went each day and filmed the clinic parking lot for three months.

And what they saw was alarming, court document state. Patients at Orusa’s clinic were rarely examined by the doctor and often prescribed opioids in large groups through what authorities refer to as “cattle calls.”

[….]

The newly obtained court documents also detail how Orusa allegedly profited from mass prescribing, collecting more than $1 million in cash during a six-month span in 2017. Prosecutors are currently trying to seize the contents of six personal bank accounts to which they say Orusa funneled more than $920,000 in illegal profits.

Most of that money came from drug sales, court documents state, but Orusa is also accused of defrauding the government by billing Medicare or Medicaid for examinations that he couldn’t possibly have done.

More here.

Some of the stories about Orusa allege that patients died of drug overdoses while under his ‘care.’

question markI can assure you that this type of practice is going on near you. Watch for it! If you have a friend or family member going to a pain clinic (especially one run by a foreign doctor), keep an eye on them and the clinic and don’t hesitate to turn in the doctor/clinic if you see something fishy.

 

 

 

Health and Human Service’s Fugitives from Justice: all New Americans?

This is a very cool website!

But, it shows what suckers we Americans are!

Below are the Top Ten fugitives from justice at the Office of Inspector General at the Dept. of Health and Human Services.

Some individually ripped-off Medicare and Medicaid to the tune of millions of dollars, collectively the number must exceed a billion.  HHS lists 170 who have escaped justice and are in hiding or have fled the country and returned to their home country.

What do you notice about the top ten?  All are foreigners who were in the US busily setting-up scam operations!

Top ten fugitives
This is a screenshot. Go to the website and click on the links beneath each picture to see what these foreign scammers stole from us and how they did it.  https://oig.hhs.gov/fraud/fugitives/

 

I looked up the ‘bios’ for a few of the top ten:

Slepak is in Russia.

Onajobi is in Nigeria.

Moreira is in Spain.

And, Tilong is in Cameroon.

Of course what I most want to know (but we are never told!) is how they got into the US (presumably legally!) in the first place!

I have said this before, but I am convinced someone could build an entire political campaign around finding and bringing to justice frauds, crooks and criminals.

By the way, if you are new to Frauds and Crooks, know that one fun thing to do is to use the language of the Left whenever you can.

One of their favorite phrases for you to co-opt is “new American!”  Watch for it, they (and their media lackeys) use it everywhere in place of the word “immigrant” or “refugee.”

The word “refugee” previously had a positive connotation, but got tainted over the last few years. Gee, I wonder why!

So, they needed new positive-sounding words, thus “new American.”

They never use the word “alien” and they sure don’t want to hear the word “foreigner.”

question markSo what do you do? Use the words “foreigner,” “alien” or “illegal alien” (or “illegal immigrant”) when appropriate and definitely have fun with “new American!”

 

 

York, PA: Wealthy Muslim Found Guilty of Medicaid/Food Stamp Fraud

medicaid fraudThe latest news in the case of 68-year-old Nagy Mohamed Abdelhamed ripping off the taxpayers of Pennsylvania and the US is here at the York Dispatch.

But as is so often the case with these crooks, in order to illustrate the news the media must use graphics and stock images like the one I’m using because there is NO PHOTO of the perp to be found!

York man guilty, defrauded feds of about $30K in Medicaid benefits

A York-area man scammed the U.S. government by fraudulently accepting nearly $30,000 in Medicaid and food stamps despite owning a gas station and having some $86,000 tucked away in eight bank accounts, according to federal officials.

no-phot-avail
This made me laugh! Creeping Sharia tells Abdelhamed’s story and illustrates it with this image!  https://creepingsharia.wordpress.com/2019/01/02/muslim-medicaid-fraud/

Nagy Mohamed Abdelhamed, 68, no street address provided, pleaded guilty Tuesday, Feb. 5, to felony health-care fraud in Harrisburg’s federal court, according to court records.

[….]

In August 2014 Abdelhamed applied for Medicaid as well as food stamps, which are now called Supplemental Nutritional Assistance Program (SNAP) benefits.

He didn’t disclose in the application the fact that he owned a four-bedroom home, a York-area gas station and a 2008 Mercedes Benz E350, his federal indictment states.

On disability too: He also was already receiving $1,124 a month in Social Security disability benefits and, at the time, had about $56,000 in eight separate bank accounts, according to the indictment.

In his Medicaid/SNAP application, he lied and said he had no monthly income and owned no property besides his home, the indictment states. He also failed to disclose the money in his bank accounts or his Mercedes, officials said.

More here.

The Justice Department’s press release is here.

question markWhat should you do? Every time you see a story in a local publication or on the local news that does not show a photo (or mention the nationality) of the perp, contact the news desk and ask why there is no photo and what is his/her immigration status.  I know it’s unlikely they will produce one (or have any clue where the ‘new American’ is from), but it sends a signal that you notice their little tricks.

 

Ohio ‘Man’ Sentenced for Allowing Criminals to Work in Home Health Care Business

hands behind bars
The story is illustrated like this because there is apparently no photo of the scammer.

Nothing annoys me more than a story like this with no photo of the convicted ‘man’ named Ali Jama.

So I’m making an educated guess that since he lives in Columbus, Ohio***, the city with the second largest Somali population in America and that the name is a common Somali name, that he is Somali!

Someone who knows Ali Jama can tell me I’m wrong. I will be waiting!

 

Here is a bit of the story (STL News), taken directly from the Dept. of Justice press release on this fraudster.

OHIO NEWS: COLUMBUS, ALI JAMA, COLUMBUS HOME HEALTH CARE PROVIDER SENTENCED FOR FRAUD

 

COLUMBUS, Ohio – The co-owner of Alpha Star Health Care Inc. was sentenced today in federal court to 18 months in prison for running home health care fraud and tax fraud schemes.

Ali Jama, 50, of Columbus, pleaded guilty in September 2018 to one count of making false health care statements and one count of making false statements to the IRS.

[….]

According to court documents, Alpha, which was located on Westerville Road in Columbus, was a Medicare and Ohio Medicaid health care provider. In 2015 and 2016, Jama improperly billed Medicare and Medicaid by allowing unqualified health care aides to provide care.

Jama billed for services by disqualified individuals, whose criminal backgrounds prohibited them from providing direct care; and billed for services by untrained home health aides.

Further, Jama provided false documents to his tax preparer, claiming $0 in taxable income for 2013 and 2014. In fact, his taxable income for those years was approximately $167,000 and $301,000 respectively. As a result, the IRS sustained a loss of approximately $126,000 in tax liability.

Continue reading for more on his tax scams.  Then check this out—a bunch of verbiage about how bad his crimes were and how “just” his sentence of 18 months is!

AG Yost
Ohio Republican AG Yost: His sentence is “just.”

“The public rightfully expects and trusts that those who provide health care services are competent and qualified”, said Lamont Pugh III, Special Agent in Charge, U.S. Department of Health and Human Services, Office of Inspector General – Chicago Region. “The utilization of unqualified personnel coupled with the billing of federally funded health care programs for their services puts a patient’s health and safety at risk, and wastes taxpayer dollars. The OIG along with our federal and state partners will continue to identify and hold accountable those who choose to engage in this type of criminal activity.”

[….]

“This is a deliberate, coldhearted violation of the public trust,” Ohio Attorney General Yost said. “This joint investigation and prosecution was equally deliberate, and the sentence is just.”

 

question markWhat do you think? Is 18 months behind bars “just?”  And, what are the odds he will be paying restitution amounting to hundreds of thousands of dollars! Maybe “just” would be deportation back to his homeland!

 

***If you are new to Frauds and Crooks, see (in my Welcome post) that a film being produced about the joys of diversity in Columbus, Ohio helped inspire me to undertake this new project!

Even if you are a subscriber and read my posts on your phone or in e-mails, visit occasionally (click here) for more information.  For example, see “Trending” in the right hand side bar? Those are the posts that are the most popular with readers in recent days.