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”

Florida Heart Doc Defrauded Taxpayers to the Tune of $2.2 Million

medicare-scamAnd, the same newspaper that reported the news from Davenport, Florida had praised him to the heavens just a couple years before in a glowing article about how much the first generation Pakistani doctor was giving back to the community.

Editor: I haven’t written a Medicare fraud story for two weeks, not since this story about the Colorado fugitive Pharmacist! But, I’m glad to focus on one this morning.  Maybe I like these stories because I’m a senior and see around me friends and acquaintances getting all sorts of tests and procedures that strike me as unnecessary and possibly harmful.

I’m also writing it because I like the fact that a 75-year-old patient tipped-off the feds and will be getting a big reward for turning him in!

So here is the story titled,

Davenport doctor settles health care fraud lawsuit for $2.2M

Continue reading “Florida Heart Doc Defrauded Taxpayers to the Tune of $2.2 Million”

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!