How Two Massive Fraud Cases Intersected

Because the cases are instructive and because, yes, I do write from time to time about American frauds and crooks not just the ‘New American’ variety, here is an extensive piece at the LA Times about how perhaps the largest Medicare fraud case in US history intersected with the College Admissions scam involving the rich and well-connected.

Philip Esformes
Philip Esformes before the fall.  As a flight risk he has been behind bars since July 2016 awaiting sentencing in September.

Now if only a paper with the stature of the LA Times would put an investigative journalist to work on the Kenyan Killer case where as one reader pointed out it would be difficult for the alleged prolific killer Billy Chemirmir to pawn that much jewelry without help, a network of criminals (dependent on old ladies being murdered) might be exposed.

I’ve reported previously on the case of Philip Esformes who ran a nursing home empire built on defrauding you and me, American taxpayers, but haven’t written about the Singer scam designed for elites to get their little darlings into top tier colleges.

FBI found clues to college admissions scandal years earlier in massive Medicare fraud case

 

Federal authorities were combing through the finances and phone records of a Miami businessman suspected of Medicare fraud when they came across a curious name: Rick Singer.

Rick Singer
Rick Singer https://www.foxnews.com/us/who-is-william-rick-singer-college-admissions-cheating-scandals-alleged-ringleader

Philip Esformes, who was accused of farming out patients from his nursing homes to steal millions in bogus insurance claims, had sent hundreds of thousands of dollars to a foundation Singer controlled. And in text messages discovered on Esformes’ phone, the men discussed how one of Esformes’ sons had performed on his college entrance exams.

Only years later would authorities learn what Esformes had paid Singer to do: Slip his daughter into USC as a fake soccer player and fix his youngest son’s college entrance exam, according to statements a prosecutor made in court and sources familiar with the case.

Singer has said he struck similar deals with dozens more parents, an admission that has roiled higher education and implicated elites from Hollywood, Silicon Valley and the Newport coast.

But in 2016, when agents seized the iPhone Esformes used to text Singer and obtained their messages, Singer was a peripheral, if curious, player in an enormous healthcare fraud investigation. The Esformes case marks the first time Singer is known to have crossed the radar of law enforcement.

[….]

It is unclear how much federal authorities uncovered of Esformes’ dealings with Singer while investigating his case. But at his trial in March, a fraud expert used by the government to make sense of his finances testified that Esformes had made $400,000 in payments over several years to Singer’s foundation. At least some of the money was traced to Medicaid and Medicare funds, the expert testified.

Too funny! Esformes paid Singer $400,000 and his daughter did get into USC as a fake soccer player, but get this…

The daughter, who could not be reached for comment, was enrolled at USC for a year before transferring to a fashion school in New York City, according to a source with knowledge of the case and her LinkedIn profile.

There is much more, continue reading here.

 

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”

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”

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”