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”

New American rips off Medicaid, Planned to Escape to Russia, but Feds Nabbed Him

Our law enforcement caught up with him in Canada!

Ramil Mansourov
Dr. Mansourov had gotten as far as Canada and had purchased a plane ticket to Moscow. (From Russia to America with love!)

 

This must be Medicaid Monday at Frauds and Crooks! (See my post earlier today!).

Is the word out all over the world—-get to America and steal from Medicare, Medicaid, Food Stamps, and more!

Continue reading “New American rips off Medicaid, Planned to Escape to Russia, but Feds Nabbed Him”

Update: More Information on Louisiana Medicaid Scammer

Screenshot (910)
Naji Abdelsalam and his accomplice

 

I reported the news about new American Naji Khlaed Abdelsalam, apparently a millionaire, who was defrauding us, American taxpayers, by ripping off Medicaid for his family of six, here.

Now we have a few more details about the scam.

However, we still don’t know his nationality or immigration status.

Continue reading “Update: More Information on Louisiana Medicaid Scammer”

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”

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!