Dependent on Fraud

Commentary by: Larry Benson

Today’s “Fraud of the Day” is based on an article entitled, “Phillips County woman pleads guilty to Medicaid fraud,” published by The Helena Arkansas Daily World on February 15, 2017.

A Phillips County woman was convicted of Medicaid fraud in Pulaski County Circuit Court. Arkansas Attorney General Leslie Rutledge made the announcement late Tuesday.

Jacqueline Young, 38, entered a guilty plea and was sentenced to three years probation and ordered by the court to pay almost $1,400 in restitution to the Arkansas Medicaid Program. She will also be required to pay more than $4,000 in fines and court costs, according to the attorney general.

Real Trouble

Commentary by: Larry Benson

Today’s “Fraud of the Day” is based on an article entitled, “Metro Atlanta dentist gets federal prison time for Medicaid fraud,” published by The Atlanta Journal-Constitution on February 15, 2017.

A dentist who practiced in Gwinnett and DeKalb counties is headed to federal prison for Medicaid fraud.

Dr. Oluwatoyin Solarin was sentenced to a year and six months for filing false claims worth nearly $1 million, the U.S. Attorney’s Office in Atlanta announced Wednesday.

Enterprising Fraudster

Commentary by: Larry Benson

Today’s “Fraud of the Day” is based on an article entitled, “Ex-Canton doctor pleads in medical fraud case,” posted on hometownlife.com on February 14, 2017.

A former Canton-based doctor who pleaded guilty in a medical fraud scandal has been sentenced to one day in jail and ordered to pay fines totaling $278,355, a court clerk confirmed Tuesday.

However, Bassel Altantawi of Farmington Hills also has had his medical license suspended as he faces a hearing before the Michigan Board of Medicine, said Michael Loepp, spokesman for the Michigan Department of Licensing and Regulatory Affairs.

Family Cover Up

Commentary by: Larry Benson

Today’s “Fraud of the Day” is based on an article entitled, “Bennington family convicted of multiple counts of Medicaid fraud,” published by Vermont Business Magazine on December 28, 2016.

Patrick Morse, 64, Ellie May Morse, 43, and Donald Morse, 23, of Bennington, Vermont, were convicted in Vermont Superior Court, Windsor Criminal Division, of multiple felony counts of Medicaid Fraud arising out of their scheme to defraud the Vermont Medicaid Children’s Personal Care Services (“PCS”) Program. Patrick Morse was convicted on nine counts, Ellie May Morse was convicted on six counts, and Donald Morse was convicted on three counts.
Patrick Morse and Ellie May Morse submitted claims, as the employers of record, for payments from the PCS Program, for services purportedly rendered to three recipients when those services were not actually rendered. For over five years, Patrick and Ellie May Morse falsified timesheets to document the purported services and submitted the timesheets to the PCS Program for payment.

Unpleasant Check-up

Commentary by: Larry Benson

Today’s “Fraud of the Day” is based on an article entitled, “Forney dental office among 21 to pay $8.45 million to resolve violations of False Claims Ace,” posted on Forney.com on January 9, 2017.

FORNEY, Texas — A Forney dental office is among 21 affiliated dental practices who have agreed to pay $8.45 million to resolve allegations of false Medicaid claims for pediatric dental services, U.S. Attorney John Parker of the Northern District of Texas announced Monday.

The allegations, according to Parker, stem from incidents between Jan. 1, 2009, and Dec. 31, 2014 in which Texas-based MB2 Dental Solutions (MB2), 21 pediatric dental practices affiliated with MB2, and their owners and marketing chief knowingly submitted, or caused the submission of, claims for pediatric dental services that were not rendered, were tainted by kickbacks, or falsely identified the person who performed the service.

Glorified Taxi Service

Commentary by: Larry Benson

Today’s “Fraud of the Day” is based on an article entitled, “Ambulance company owner sentenced in Medicare fraud case,” posted on Cincinnati.com on January 26, 2017.

The owner of Community Angels Ambulance will serve two years in prison after being convicted of money laundering and health care fraud.

Terry Johnson, 43, of Hamilton, was sentenced in U.S. District Court after admitting to submitting more than $1.4 million in fraudulent bills to Medicare and Medicaid, according to a news release from United States Attorney of the Southern District of Ohio’s office.

15,000 Trips to Nowhere

Commentary by: Larry Benson

Today’s “Fraud of the Day” is based on an article entitled, “Mesa man who owns medical-transport company convicted of bilking AHCCCS of $1.2M,” posted on AZCentral.com on December 16, 2016.

A federal jury has convicted the owner of a Mesa medical transportation company of health-care fraud and aggravated identity theft after he billed Medicaid for thousands of trips that never occurred.

Elseddig Elmarioud Musa, owner and operator of Arizona One Medical Transportation, was convicted Dec. 9 in U.S. District Court on 35 counts of health-care fraud and four counts of aggravated identity theft. He is scheduled to be sentenced March 6.

Well-earned Punishment

Commentary by: Larry Benson

Today’s “Fraud of the Day” is based on a Department of Justice press release entitled, “Three sentenced to prison for $3 million fraud involving Cleveland home health company,” released on December 8, 2016.

Three people were sentenced to prison for their roles in a $3 million conspiracy involving a home health service company with offices in Cleveland to defraud government insurance programs by billing for services not provided, law enforcement officials said.

George Epps, 43, of Cleveland, was sentenced to 46 months in prison.

Fraud Prosecuting Machine

Commentary by: Larry Benson

Today’s “Fraud of the Day” is based on an article entitled, “Three Ohio Home Care Workers Sentenced for Fraud,” posted on homecaredaily.com on December 23, 2016.

In a case that federal prosecutors first brought forth in June, 2015, three men (out of five total defendants) were sentenced this month for their role in defrauding Medicaid through home care. According to prosecutors, the federal government was bilked for a total of $3.4 million by the defendants, who have now all pleaded guilty to the charges against them.

One female defendant was sentenced in September and received probation while one more defendant will be sentenced in May, 2017. The three who faced sentencing this month included George Epps, 43 from Cleveland, Abdulazis Warsame, 51 from Cleveland, and Amir Ahmed, 51 from Columbus.

Dream House Built on Fraud

Commentary by: Larry Benson

Today’s “Fraud of the Day” is based on an article entitled, “Home Health Fraud Paid for Couple’s $900,000 Dream House,” published by Home Health Care News on December 5, 2016.

The owners of a home health care agency in Columbus, Ohio, admitted last week to defrauding Medicaid and building a $932,000 house with the funds, The Columbus Dispatch reported.

Muna Alnoubani, 49, and her 51-year-old husband, Riyad Altallaa, pleaded guilty on Dec. 1 in Columbus federal court to conspiring to defraud Medicaid. Altallaa also pleaded guilty to money laundering and using the money to pay for the couples’ home.

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