New American from Kenya Convicted in Medicaid Fraud Scheme

Editor:  I have a huge backlog of stories to post here at Frauds and Crooks and hope to do a news round-up post to catch up in the coming days.  A reader recently suggested that I should consider just sending out straight news without my editorial comment. I think I’ll try to do a little bit of both going forward and the news round-up will help with that by giving you more information with less words!

Hellen Kiago
Hellen Kiago convicted of ripping us off to the tune of $2.5 millon!

However, this story from Massachusetts caught my eye for a couple of reasons and is worth posting in greater detail.

It might not have been worth posting at all if it weren’t for the revelation that the convicted home health care provider was able to send $1.5 million of ill-gotten gains out of the country just before her arrest.

And, the story is important because home health care ‘businesses’ are rife with fraud and keep turning up in my searches for medicare and medicaid scam stories.

Continue reading “New American from Kenya Convicted in Medicaid Fraud Scheme”

Texas: Five People Sentenced for Multi-million Healthcare Fraud; Nigerians Among Them

As I have said on many previous occasions, I hope the Trump Administration is gathering their successful fraud-busting cases together to use as examples of what the Trump team is doing for us—finding and punishing those ripping off the US taxpayer!

At every rally he should be giving an update on how much fraud he is uncovering and busting!

medicaid fraud

The Medicaid fraud, Medicare fraud, Food stamp fraud have been doing great damage to the US Treasury and often there is a ‘new American’ component that makes it even more egregious.

We welcome immigrants and then they rip us off!

Normally we are never told if a convicted criminal is a new American, but this story has a mention at the end.

Continue reading “Texas: Five People Sentenced for Multi-million Healthcare Fraud; Nigerians Among Them”

Michigan: ‘New American’ Pharmacists Charged in Medicare Fraud Case; Billed for Meds for Dead People

Until I started investigating fraud cases involving Medicare and Medicaid, I had no idea that there were so many pharmacists on-the-take.  And, this is one more case that makes me ask—What! Don’t we have enough US born and educated pharmacists without importing foreign ones?

Of course, as is almost always the case, there is no mugshot, and no information on the nationality and immigration status of this bunch of alleged crooks named by the US Justice Department in an unsealed indictment earlier this week charging that they ripped us off for $9.2 million:

Wansa Nabih Makki, 41, of Dearborn

Mohamad Ali Makki, R.Ph., 43, of Dearborn Heights

Mahmoud Makki., 36, of Dearborn

Hossam Tanana, 53 of Dearborn

 

Pharmacy fraud
According to a Press & Guide story: “The pharmacy in Livonia that some of the defendants were working out of, bore no signs that anything other than a dental office was inside.”  http://www.pressandguide.com/news/four-people-indicted-in-million-laundering-scheme-at-area-pharmacy/article_76eec6fc-5c80-11e9-890c-bb73ed71aebf.html

 

By the way, I think Michigan may ultimately win the prize for the state with the most frauds and crooks (aka new American entrepreneurs) ripping off the US health care system.

Continue reading “Michigan: ‘New American’ Pharmacists Charged in Medicare Fraud Case; Billed for Meds for Dead People”

Feds Bust Billion Dollar Medicare Scam, Call it ‘Operation Brace Yourself’

How many of you on Medicare have received robocalls telling you that neck, knee or back braces were yours free, all you had to do was respond to the call?

Medicare-Fraud-Strike-Force-696x392

Well thanks to the FBI, the Medicare Fraud Strike Force, and other federal law enforcement agencies at least those calls, which came from international call centers, will stop.

I’m repeating myself, but the President really should be bringing attention to the numerous and successful fraud busts his administration is prosecuting. 

And, as several of my reader have pointed out, imagine if the Democrats got their way and there was Medicare for all!  Imagine the massive fraud that would follow!

Continue reading “Feds Bust Billion Dollar Medicare Scam, Call it ‘Operation Brace Yourself’”

Florida: Esformes Found Guilty in $1 Billion Medicare Fraud Scheme

Philip Esformes
Esformes in better days!

One of the largest cases in US history say government prosecutors.

And, he was also one of the parents who bought their kid a slot into a good college!

This is an update of my previous post on the once powerful Philip Esformes.

Here is one of many stories on the internet about the jury’s decision.

Continue reading “Florida: Esformes Found Guilty in $1 Billion Medicare Fraud Scheme”

Michigan: Indian-American Sentenced to Twelve Years in the Slammer for Stealing $1 Million from Us

Rathod MichiganBabubhai Bhurabhai Rathod — a New American who brought cultural diversity and an entrepreneurial spirit to Michigan!

And, one of the most stunning things about this case, where Rathod has been sentenced to twelve years, is that he had already served prison time for the same theft from a similar Medicare and Medicaid fraud scheme.

The Judge on sentencing him this time said this,

Judge Neff described Rathod as both “a man for whom the truth is a stranger” and a naturalized citizen who has “taken advantage of opportunities available in this country to steal from it.”

Before I get to the Department of Justice press release from Thursday, I want to tell you about his first go-round in prison just a few short years ago.

Continue reading “Michigan: Indian-American Sentenced to Twelve Years in the Slammer for Stealing $1 Million from Us”

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”