Wednesday, April 25, 2018

Crisis of Epic Proportions

The National Institute of Drug Abuse reports that more than 90 Americans die every day due to opioid drug overdoses. The organization also states that the cost of prescription opioid misuse in the United States alone costs an estimated $78.5 billion a year in...

Gone, Just Like That

Today’s “Fraud of the Day” is based on a Department of Justice press release entitled, “Owner of Home Health Agency Sentenced to 75 Years in Prison for Involvement in $13 Million Medicare Fraud Conspiracy.” The owner and director of nursing of a Houston home health agency was sentenced today to 75 years in prison for her role in a $13 million Medicare fraud scheme.

What Can You Buy with $20 Million?

A registered nurse and home health company owner has been convicted of conspiracy and multiple counts of healthcare fraud in a $20 million dollar scheme to defraud Medicare.

What’s Behind Door #1, #2 and #3?

Myrna S. Parcon, a/k/a “Merna Parcon,” 62, of Dallas and Ransome N. Etindi, 57, of Waxahachie, Texas, were sentenced by U.S. District Judge Jane Boyle for their role in a nearly $60 million Medicare fraud scheme, announced U.S. Attorney John Parker of the Northern District of Texas.

Dying to Defraud

Dr. Nathaniel Brown, 62, of Cleveland, Mississippi, was sentenced before United States District Judge Neal B. Biggers, Jr. in Oxford, Mississippi. Dr. Brown was sentenced to serve thirty-nine (39) months in federal prison followed by three (3) years supervised release and ordered to pay $1,941,254 in restitution to the Medicare program.

Infusion Fraud

An Orlando medical doctor and an infusion clinic owner were sentenced to 64 months in prison and two years supervised release, and 90 months and two years supervised release, respectively, for their roles in a $13.7 million Medicare fraud conspiracy that involved submitting claims for expensive infusion-therapy drugs that were never purchased, never provided and not medically necessary.

Sitting Ducks

Today’s “Fraud of the Day” is based on an article entitled, “2 Slidell residents sentenced in $25 million Medicare fraud scheme,” posted on NOLA.com. Two Slidell residents who owned psychological services companies received long prison terms for their involvement in a $25 million scheme to defraud Medicare by charging for nursing home services that were unnecessary or never performed.

Free Housekeeping

A Dallas company enticed patients to use Medicare-funded home health care they didn't need by giving them grocery gift cards and cash, federal prosecutors say. Dallas Home Health Care owner Viju Mathew and his wife, Mariamma Viju, were sentenced to 30 months in federal prison for the scheme, which even pitched the health services as a way to sign up for free housekeeping.

Terminally Fraudulent

A former doctor from Anaheim was sentenced to nine years behind bars for falsely certifying that Medicare patients were terminally ill, and thus qualified for hospice care, when the vast majority of them were not actually dying.

In Deeper Than He Thought

The owner of a string of Houston home health care clinics was sentenced to 40 years in federal prison Thursday for a brazen scheme involving more than $17 million in fraudulent Medicaid and Medicare billing.

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