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”

The Left Loves Films! They want to Stimulate Discussions about Immigrants, they say

But, of course the films will all be lovely, warm and fuzzy stories about resilient immigrants and refugees who bring the joys of diversity to your communities and thus bring love and peace to one and all.

“The idea of the films is to generate discuss (sic) about immigration.”

Yes, there are deserving immigrants, but WTH how can you have a real discussion without also discussing the cultural clashes and downright criminality some migrants bring to America?
That’s what grates on me!  That is why I write this blog. I want balance in the discussions and since I’m not seeing it in the public square, I’m trying to balance the media’s diversity-is-beautiful meme right here.
If you missed my first post at Frauds and Crooks, here it is.
You will see much of my inspiration came from a report about a documentary film being produced in Columbus, Ohio (to get your minds right on immigration!) in advance of the 2020 presidential election.
Now comes news about TEN documentary films to be shown in Boston at the end of this month, all made by the immigrants themselves telling their own ‘stories.’
Leftists LOVE stories!
And, they sure know how to do propaganda!
 
Immigrant films Boston
Continue reading “The Left Loves Films! They want to Stimulate Discussions about Immigrants, they say”

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? 
 

Convicted New England Pain Docs had Ties to Egypt

“Mr. Aboshady helped Dr. Mashali operate one of the most dangerous pain management practices in Massachusetts.”

United States Attorney Andrew E. Lelling

 
This story from The Global Dispatch looks to be directly quoting a Dept. of Justice press release.  The story is much worse than its title,

New England Pain Management Physician Sentenced to Prison for False Billing Scheme

A physician at the now-defunct New England Pain Management Associates Inc. was sentenced today in federal court in Boston for conspiring to falsify patient medical records in order to obtain payments from Medicare and commercial insurers for medical services that were not performed.

New England pain doc
Dr. Fathalla Mashali

Moustafa Moataz Ibrahim Aboshady, 36, of Lake Forest, Calif., was sentenced by U.S. District Court Judge Nathaniel M. Gorton to 75 months in prison, three years of supervised release and ordered to pay restitution in the amount of $1,852,459. In September 2018, a federal jury convicted Aboshady of one count of conspiracy to make false statements in connection with health care benefit programs and two counts of making false statements in connection with health care benefit programs.
In March 2018, co-conspirator Dr. Fathalla Mashali was sentenced to eight years in prison after pleading guilty to 27 counts of health care fraud, one count of conspiracy to commit mail fraud and 16 counts of money laundering.
“Mr. Aboshady helped Dr. Mashali operate one of the most dangerous pain management practices in Massachusetts,” said United States Attorney Andrew E. Lelling. “Dr. Mashali routinely dispensed large quantities of powerful narcotics to addicted patients.
Mr. Aboshady assisted Dr. Mashali’s illegal behavior by using his training as a doctor to fabricate patient records, with the goal of duping Medicare and other insurers into paying Dr. Mashali for his fraudulent conduct. Moreover, Aboshady later lied about Mashali’s medical practices to regulatory authorities.”
“Dr. Aboshady engaged in unlawful, unethical, and unprofessional conduct. He used the Medicare system as his own personal ATM, cheating taxpayers and private insurance companies out of thousands of dollars by billing them for medical services that were never performed. The FBI is committed to protecting government and private health care programs and stopping those who steal from them,” said Joseph R. Bonavolonta, Special Agent in Charge of the FBI Boston Division.
[….]
Aboshady conspired with Mashali, other members of NEPA (New England Pain Management Associates), and members of a satellite office in Cairo, Egypt, to falsify medical records and urine drug test results to support claims for payment to Medicare and insurers for services that Mashali did not render.

 
Continue here for more of the gory details of the fraud this pair was perpetrating on US taxpayers, and for the harm they were bringing to their drug addicted patients.
The photo (above) is from a very cool website I just discovered called The Bad Doctor Database, see it here.  Dr. Mashali appeared for his trial in that ‘get-up’ in the photo on the right.  My first thought was that it was a ploy to gain sympathy of the court.  Although not charged for any deaths, when you read about Mashali you learn that eight of his patients died of opioid over doses.

question markWhat are you going to do?  Check out your doctors very carefully especially if they are of the ‘new American’ variety! And, keep a watchful eye on loved ones who you suspect of being over-medicated and risk addiction!  Knocking off infidels while getting rich is a pretty sweet deal for creeps like these.

 

Boston Trial of Indian-American Opioid Drug Executive Underway

You might have caught a bit of this story on the national news because it involves a former stripper hired to help sell the drugs.
From the Boston Globe:

The federal government, which has been accused of failing to hold drug companies to account for the nation’s deadly opioid epidemic, hopes to dispel that impression Monday when the first criminal trial of pharmaceutical executives who marketed a painkiller begins.

johnnathkapoor
‘New American’ John Nath Kapoor was born in India

John N. Kapoor, a onetime billionaire and founder of Arizona-based Insys Therapeutics, is scheduled to go on trial in US District Court in Boston along with four former company executives on charges that they acted more like mobsters than pharmaceutical executives when they sold a brand of fentanyl, a powerful and addictive opioid.
In a trial expected to last up to three months, federal prosecutors will try to convince a jury that the five defendants paid bribes and kickbacks to physicians in a nationwide racketeering conspiracy. The payments allegedly induced doctors to prescribe Subsys, an under-the-tongue fentanyl spray approved to treat severe cancer-related pain, for patients who hadn’t been diagnosed with cancer.
The case features several explosive allegations. Prosecutors say that Insys set up a sham “speakers program” to funnel cash to doctors, adjusted payments based on how many prescriptions doctors wrote, misrepresented patients’ medical histories to dupe insurers into covering Subsys for people without cancer, and even hired a woman who was a former stripper and escort service manager as a key sales executive.
[….]
The criminal case marks a rare instance of the government using the criminal Racketeer Influenced and Corrupt Organizations Act, or RICO, to go after corporate executives. The statute was approved in 1970, chiefly to prosecute organized crime figures.
[….]
Kapoor is the most prominent of the five Insys defendants. A 75-year-old shaggy-haired entrepreneur who was raised in India, lives in Phoenix, and was — until recently — on Forbes magazine’s list of billionaires, Kapoor founded Chandler, Ariz.-based Insys in 1990. For more than a decade, he largely funded it out of his own pocket.

If found guilty, Kapoor could get up to 20 years in the slammer.
Much more here.
Pharmaceutical company fraud investigations should be applauded by all Americans, on the political Left and Right, especially as it relates to the deadly opioid crisis destroying lives in middle America.

question markI’m guess that almost everyone knows someone addicted to pain meds?
This story reminds me to remind you to check your medicare statements carefully to be sure some doctor isn’t billing you for meds that you didn’t receive or for an amount larger than you actually were prescribed.