Detroit-Area Physical Therapy Clinics Involved in Medicare Fraud

Mark Mandell, Esq.

It seems Medicare fraud permeates all areas of the health care field as yet another case has come to light in the metro-Detroit area, this time involving a physical therapy clinic. The clinic was involved in a $13.8 million home health care fraud scheme. Physical therapy assistant Ankit Patel of Westland, Michigan pleaded guilty to his involvement in the scheme, admitting to conspiracy to commit health care fraud.

Beginning in June 2009, Patel falsified medical documents for a number of different home health care agencies in the Detroit-area. Patel created evaluations, falsified therapy revisit notes and other medical documentation, and signed such documents, validating treatment for physical therapy patients that did not exist. Patel later admitted that he was in fact aware that the false documents he created would be used to support false claims to Medicare.

Over the past few years, Medicare paid out almost $1.5 million to Physicians Choice Home Health Care LLC, Quantum Home Care Inc., and Moonlite Home Care Inc. – three companies that benefited from Patel’s involvement.

As a result of his involvement in the fraudulent scheme, Patel faces a maximum of 10 years in prison as well as a $250,000 fine. However, Patel is not alone in these charges. Ten others have pleaded guilty to involvement. One has already been sentenced: Hetal Barot was sentenced to 30 months in prison for her involvement for the same criminal charge. Patel is scheduled to be sentenced in March.

These charges were brought about by the Medicare Fraud Strike Force, an agency that has charged more than 1,480 defendants who have collectively billed the Medicare program for more than $4.8 billion.

To learn more and read the original article, please visit: http://7thspace.com/headlines/428595/usdoj_physical_therapy_assistant_pleads_guilty_in connection_with_detroit_medicare_fraud_scheme.html

If you have questions about Medicare or Medicaid fraud, or other legal issues, please contact Mark Mandell or Tariq Hafeez at 248.380.0000 or online at www.MichiganFraudLawyer.com.

Michigan Medicare Fraud Strike Force

Recently, in the Eastern District of Michigan, five more individuals were charged for their participation in yet another Medicare fraud scheme. The Department of Justice, FBI and the Department of Health and Human Services (HHS) announced the charges in late September, stating the individuals were involved in fraudulent health and psychotherapy services.

Defendants charged in the documents include: Mohammed Sadiq, 65, Troy, Mich.; Jamella Al-Jumail, 23, of Brownstown, Mich.; Firas Alky, 40, of Shelby Township, Mich.; Clarence Cooper, 53, of Detroit; and Beverly Cooper, 58, of Detroit.

According to court documents the scheme involved a total of more than $24.7 million in fraudulent claims submitted to Medicare. The majority of this total was billed as home health care and psychotherapy services that were either medically unnecessary or had never really occurred.

The investigation was triggered by the Medicare Fraud Strike Force. Since its inception in March 2007, the strike force has charged more than 1,330 defendants who collectively have fraudulently billed Medicare for more than $4 billion. Working in conjuncture with the FBI and HHS, the strike force hopes to increase accountability and decrease the presence of fraudulent providers.

Fausone Bohn’s team working on Medicare fraud cases include Mark Mandell, Tariq Hafeez, Breeda O’Leary and Matt Worley.

To learn more or see the original article, please visit: http://www.enewspf.com/latest-news/police-reports/36682-five-individuals-charged-in-detroit-for-alleged-roles-in-247-million-medicare-fraud-scheme.html

Medicare Fraud

Mark Mandell

It takes nothing more than Googling the words “Medicare Fraud Strike Force” to realize our country has a growing problem; Medicare fraud.

Since their creation in early 2007, the Medicare Fraud Strike Force (MFSF) has placed charges on over 1,190 individuals who falsely billed the Medicare program for over $3.6 billion. MFSF operates in over nine districts, including Michigan where instances of Medicare fraud are far from rare.

In January, the U.S. Attorney’s Office filed a complaint against Universal Imaging, Inc., a Michigan company that fraudulently received over $1.56 million in Medicare kickbacks (accounting for over 90% of their business).  

More recently in March, three Detroit-area clinic owners pleaded guilty to conspiracy to commit health care fraud. Estimates based off court documents suggest the three clinics billed Medicare for over $5.4 million during the course of their scheme. Each defendant faces a maximum penalty of 10 years in prison and a $250,000 fine.

With dollar amounts easily climbing into the millions and no end in sight, Medicare fraud certainly deserves our attention.

To learn more please visit:

http://www.justice.gov/opa/pr/2012/March/12-crm-323.html

http://www.justice.gov/usao/mie/news/2012/2012_01_06_universal_image.html