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Medicaid fraud

East Hartford Man Sentenced For Stealing $900K In Medicaid Fraud Scheme East Hartford Man Sentenced For Stealing $900K In Medicaid Fraud Scheme
East Hartford Man Sentenced For Stealing $900K In Medicaid Fraud Scheme A Connecticut man who posed as a counselor was sentenced to prison and ordered to pay back more than $900,000 after pleading no contest to a large Medicaid fraud scheme.  Hartford County resident Ramon Apellaniz, 39, of East Hartford, will serve 15 months in prison for submitting thousands of fraudulent claims to Medicaid for services provided by unlicensed personnel and services not provided, as well as for stealing the identity of a licensed professional to submit the fraudulent claims.  Apellaniz, who has paid $156,000 in restitution, was also ordered to repay with the remainin…
NJ Mental Health Clinics Founded By Late Liberian Defendant Agree To Forfeit $6.4M, More NJ Mental Health Clinics Founded By Late Liberian Defendant Agree To Forfeit $6.4M, More
NJ Mental Health Clinics Founded By Late Liberian Defendant Agree To Forfeit $6.4M, More UPDATE: New Jersey authorities have legally seized $6.4 million and other assets from a chain of mental health clinics founded by a recently deceased Liberian presidential candidate for billing Medicaid for more than 10,000 bogus claims. Daniel E. Cassell, formerly of Perkasie, PA was under a 17-count state indictment when he died of an apparent heart attack at 56 years old on Christmas Day 2022. The West African-born Cassell -- who was a psychologist, business consultant and politician and founding member of Liberia's People Liberation Party -- was the president and chief executive officer…
Hammonton Nursing Home Owners Involved In Fraud, Suspended From Medicaid Hammonton Nursing Home Owners Involved In Fraud, Suspended From Medicaid
Hammonton Nursing Home Owners Involved In Fraud, Suspended From Medicaid A pair of nursing homes in Atlantic and Gloucester counties will be suspended from New Jersey's Medicaid program after authorities said the owners were involved in "massive fraud." Daryl Hagler and Kenneth and Beth Rozenberg were notified of the suspension on Thursday, Jan. 25, the state comptroller's office announced.  They are the owners of the Hammonton Center for Rehabilitation and Healthcare, and the Deptford Center for Rehabilitation and Healthcare. The three received letters that their entities would be suspended from the state's Medicaid program on Friday, May 24. T…
'Reckless' Owner Of Princeton Nursing Home That Abruptly Closed Barred From Receiving Medicaid 'Reckless' Owner Of Princeton Nursing Home That Abruptly Closed Barred From Receiving Medicaid
'Reckless' Owner Of Princeton Nursing Home That Abruptly Closed Barred From Receiving Medicaid New Jersey has cut off Medicaid funding for a nursing home that abruptly closed its doors to 72 patients last fall. Princeton Care Center closed suddenly on Sept. 1, 2003, and only notified residents' families that morning — leaving them with just hours to relocate, as first reported by Planet Princeton. Gail and Ezra Bogner, the owner and administrator of Princeton Care Center, respectively, will be suspended from New Jersey Medicaid, effective March 28, the Office of the State Comptroller said. “The Bogners’ recklessness, neglect, and incredibly poor judgment caused serious harm and…
Shelton Man Who Ripped Off Medicaid While Employed With Greenwich Police Avoids Jail Shelton Man Who Ripped Off Medicaid While Employed With Greenwich Police Avoids Jail
Shelton Man Who Ripped Off Medicaid While Employed With Greenwich Police Avoids Jail A Fairfield County man who was working as a police officer has avoided jail for Medicaid fraud but must repay monies stolen. Chief State’s Attorney Patrick J. Griffin Friday, said on Friday, Jan. 5 that  Michael Mastronardi, age 49, of Shelton, was sentenced to a three-year suspended sentence after pleading guilty to one count of cruelty to persons. In addition, he was ordered to pay $57,278.24 in restitution to the Department of Social Services to reimburse the Medicaid program. An investigation by the Medicaid Fraud Control Unit determined that between August 2014 and April 2019, Ma…
Kings Point Doctor Forced Invasive, Unnecessary Tests On Patients, Attorney General Claims Kings Point Doctor Forced Invasive, Unnecessary Tests On Patients, Attorney General Claims
Kings Point Doctor Forced Invasive, Unnecessary Tests On Patients, Attorney General Claims A New York doctor has been indicted for his alleged involvement in a kickback scheme that involved him defrauding Medicaid and giving patients unnecessary tests, officials announced. New York Attorney General Letitia James announced on Wednesday, Nov. 22 the indictment of Long Island resident Payam Toobian, M.D., alongside his company, America’s Imaging Center, Inc., for over 10 years of alleged Medicaid fraud. Through his corporation, Toobian, age 51, of King's Point, ran Empire’s Imaging, a diagnostic radiology center based in Queens. From January 2006 to August 2017, the AG’s Office …
GUILTY: Woman Defrauded Medicaid By Billing For NJ Ex's Care While Really At Work In Michigan GUILTY: Woman Defrauded Medicaid By Billing For NJ Ex's Care While Really At Work In Michigan
Guilty: Woman Defrauded Medicaid By Billing For NJ Ex's Care While Really At Work In Michigan A substitute teacher from Michigan was convicted of billing Medicaid for giving care to her stroke-stricken Morris County ex-boyfriend while she was actually back home at work. Michael Ann Ellis, 62, of Flint, MI, was found guilty by jurors in Morristown who heard testimony from, among others, a schools superintendent from her district during a four-day trial, New Jersey Attorney General Matthew J. Platkin said. Evidence also included timesheets and payroll records with school locations, dates, and hours for more than four years that Ellis collected $45,000 from the New Jersey Medicaid Prog…
DRUG FRAUD: Crimebusters Smash Statewide NJ Ring That Stole, Forged Prescriptions For Codeine DRUG FRAUD: Crimebusters Smash Statewide NJ Ring That Stole, Forged Prescriptions For Codeine
Drug Fraud: Crimebusters Smash Statewide NJ Ring That Stole, Forged Prescriptions For Codeine An elaborate drug fraud ring operating in more than half the counties in New Jersey stole doctors’ prescription pads as part of a scheme to stock up on opioid-boosted cough syrup, authorities charged. Medical offices in various parts of the state – including Wayne, Morristown and Bridgewater – were broken into by Divinete Jeffries, 30, of East Orange, Attorney General Matthew Platkin said. Jefferies snatched prescription pads that were then forged and given to accomplices who submitted them to various pharmacies using stolen IDs and bogus driver’s licenses, according to an indictment return…
Naked, Bed-Sore Covered Victim's Daughter, Husband Charged With Neglect In Chester County Naked, Bed-Sore Covered Victim's Daughter, Husband Charged With Neglect In Chester County
Naked, Bed-Sore Covered Victim's Daughter, Husband Charged With Neglect In Chester County The daughter and husband of a woman found dead in a home in July 2021 have been charged with neglect, state authorities said. The 71-year-old woman's body was emaciated and covered in untreated bedsores when it was found in a Chester county home, Attorney General Michelle Henry said. Kaci Nightingale, the victim's daughter, and Richard Nightingale, the victim's husband, have been charged with felony neglect of a care-dependent person, Henry said. The victim, who died of a stroke, was found dead in her home on West Lincoln Highway in Parkesburg, on July 20, 2021, Henry said. She was nu…
$8M Fraud Scheme: Yonkers Man Billed Millions In False Transportation Claims $8M Fraud Scheme: Yonkers Man Billed Millions In False Transportation Claims
$8M Fraud Scheme: Yonkers Man Billed Millions In False Transportation Claims A Westchester man will spend years in prison after billing more than $8 million in false transportation service claims as part of a multi-million-dollar Medicaid fraud scheme.  Yonkers resident Julio Alvarado, age 63, was sentenced to 95 months in prison on Wednesday, March 29 for leading the scheme which ended up defrauding Medicaid out of millions of dollars, according to the US Attorney's Office for the Southern District of New York.  According to federal officials, Alvarado was responsible for billing more than $8 million in fraudulent transportation services for Medicaid…
Healthcare Employee Cheated MassHealth With Sex Crimes, Fake Claims: AG Healthcare Employee Cheated MassHealth With Sex Crimes, Fake Claims: AG
Healthcare Employee Cheated MassHealth With Sex Crimes, Fake Claims: AG A Plymouth resident is accused of cheating the state's Medicaid program out of hundreds of thousands of dollars through sex-related crimes and fraudulent claims, officials said.  Eric Melendez, age 43, was indicted for collecting large sums of money from MassHealth on Monday, Dec. 5, Attorney General Maura Healy's Office reports.  The office alleges that Melendez employed multiple people as Personal Care Attendants (PCAs) and submitted timesheets with hours and tasks the attendants never worked.  One of Melendez's accomplices, Angelica Pierni, 3…
Linden Woman Stole $350K In Years-Long Medicaid Fraud Scheme: Prosecutor Linden Woman Stole $350K In Years-Long Medicaid Fraud Scheme: Prosecutor
Linden Woman Stole $350K In Years-Long Medicaid Fraud Scheme: Prosecutor A 39-year-old Linden woman was arrested on accusations she stole nearly $350,000 through bogus Medicaid claims, authorities said. Leslie K. Lassen filed numerous falsified documents with Medicaid in which she under-reported her household income between January 2015 and December 2019, Union County Prosecutor William A. Daniel announced. In June 2020, the Prosecutor’s Office received a trip from the New Jersey Medicaid Fraud Division pertaining to the theft of Medicaid funds by Lassen, said Assistant Prosecutor Melissa Spagnoli, who is handling the case.  Based upon those bogus sub…
Hartford County Man Sentenced For Wide-Ranging $1.3M Medicaid Fraud Scheme Hartford County Man Sentenced For Wide-Ranging $1.3M Medicaid Fraud Scheme
Hartford County Man Sentenced For Wide-Ranging $1.3M Medicaid Fraud Scheme A former licensed professional counselor was sentenced for operating a scheme to defraud the Connecticut Medicaid Program of more than $1.3 million. Hartford County resident Cortney Dunlap, age 37, of Burlington, was sentenced on Friday, March 11, to 57 months in prison followed by three years of supervised release, according to Leonard Boyle, United States Attorney for the District of Connecticut. Dunlap was also ordered to pay restitution to Medicaid of $1,313,322, Boyle said. He pleaded guilty to one count of health care fraud on June 4, the US Attorney's Office reported. From 201…
Former Rockland Owner Of Failed Nursing Homes In NJ, 11 Other States Charged In $39M Tax Dodge Former Rockland Owner Of Failed Nursing Homes In NJ, 11 Other States Charged In $39M Tax Dodge
Former Rockland Owner Of Failed Nursing Homes In NJ, 11 Other States Charged In $39M Tax Dodge An insurance broker from Rockland County who ran a failed nationwide network of nearly 100 nursing homes from an office over a Bergen County pizzeria ducked nearly $39 million in payroll taxes, a federal indictment unsealed on Monday alleges. Joseph Schwartz, 62, was arrested at his Suffern home last Thursday. A federal judge in Newark released him to home confinement hours later, with conditions, pending trial. Then came the unsealing announcement on Monday, also out of Newark. Schwartz’s Skyline Healthcare LLC amassed 95 nursing homes in 11 states nationwide in less than two years – incl…
Three Long Island Therapists Nabbed In $3M Scheme To Defraud Kids With Disabilities, Feds Say Three Long Island Therapists Nabbed In $3M Scheme To Defraud Kids With Disabilities, Feds Say
Three Long Island Therapists Nabbed In $3M Scheme To Defraud Kids With Disabilities, Feds Say Three therapists from Long Island are among nine people arrested in an alleged $3 million scheme that deprived children with disabilities of receiving government services. According to the United States Attorney’s Office Eastern District of New York, nine therapists were charged with stealing $3 million from the New York State Early Intervention Program (EIP), which is a program that provides services to children from infants to age 3 who experience developmental delays. The stolen money reportedly included "more than $993,000 from Medicaid and more than $1,998,000 from the N…
West Philadelphia Doc, 80, Charged In Patient's Cocaine, Oxy Overdose Death West Philadelphia Doc, 80, Charged In Patient's Cocaine, Oxy Overdose Death
West Philadelphia Doc, 80, Charged In Patient's Cocaine, Oxy Overdose Death A West Philadelphia doctor is facing involuntary manslaughter charges after he prescribed his patient a combination of opioids that resulted in an accidental overdose of cocaine, oxycodone, and morphine, authorities announced Wednesday. An investigation showed that Dr. Walter Wrenn, 80, fabricated the patient’s diagnosis in order for Keystone First to approve filling the prescribed medications, Attorney General Josh Shapiro said. The patient’s opioid prescriptions far exceeded the recommended 90 milligrams per day, Shapiro said. On Keystone First’s authorization form, Dr. Wrenn s…
LI Moving Company Owner, North Jersey Employee Admit $540,000 Low-Ball Extortion Scheme LI Moving Company Owner, North Jersey Employee Admit $540,000 Low-Ball Extortion Scheme
LI Moving Company Owner, North Jersey Employee Admit $540,000 Low-Ball Extortion Scheme A Nassau County moving company owner and a Passaic County woman who worked for him admitted in federal court that they extorted customers out of nearly $550,000 with the old “low-ball” scam. Lior Atiyas, 42, of Hewlett, Long Island began regularly low-balling estimates to move household goods, then jacking up the price by two to three times once the items were on the trucks, in early 2016, U.S. Attorney Craig Carpenito said Friday. He then refused to deliver the goods until the customers paid up, Carpenito said. Atiyas recruited Lola Larios, 37, of Haledon into the scheme when she joined t…
Dental Office Whistleblower Gets $45,000 In Settlement Over Alleged Fraud Dental Office Whistleblower Gets $45,000 In Settlement Over Alleged Fraud
Dental Office Whistleblower Gets $45,000 In Settlement Over Alleged Fraud A whistleblower is getting $45,000 for tipping the government off to her employer’s alleged misdeeds. On Thursday, Oct. 1, Abbas Mohammadi, the owner of Columbia Dental, P.C., Maxillofacial Imaging in Manchester, and Columbia Oral, agreed to pay $300,000 to resolve allegations that the companies violated the federal and state False Claims Act, the U.S. Attorney’s Office, Connecticut said. Mohammadi has about 15 dental offices across Connecticut. Mohammadi was accused of billing Medicaid for services that were either not provided, medically unnecessary, or performed by someone who was n…
Westchester Residents Charged With Submitting Millions Of Dollars In Fake Claims To Medicaid Westchester Residents Charged With Submitting Millions Of Dollars In Fake Claims To Medicaid
Westchester Residents Charged With Submitting Millions Of Dollars In Fake Claims To Medicaid A pair of Westchester residents are facing criminal charges for their roles in a multi-million dollar Medicaid scheme. Yonkers residents Jorgelina Abreu Gil, 32, the owner of KJ Transportation C Services Inc., and her husband, Julio Alvarado, 59, the manager of the company, were among 13 charged with participating in a scheme to steal millions of dollars from New York State Medicaid program by making fraudulent claims related to transportation services. U.S. Attorney Geoffrey Berman said that beginning in 2017, KJ began submitting claims to Medicaid for purported medical transportation serv…
‘Hit & Run’ Dentist With Offices In Passaic, Hudson, Union Gets License Pulled, $517,000 Fine ‘Hit & Run’ Dentist With Offices In Passaic, Hudson, Union Gets License Pulled, $517,000 Fine
‘Hit & Run’ Dentist With Offices In Passaic, Hudson, Union Gets License Pulled, $517,000 Fine An oral surgeon who needlessly pulled teeth and exorbitant payments from patients in Passaic, Hudson, Union and Monmouth counties had his license yanked and was fined more than $500,000, state authorities announced Tuesday. Andrew Maron, 58, had been prohibited from practicing in New Jersey since the state filed negligence, gross negligence and professional misconduct charges against him in 2015. Still, he continued to practice in New York, authorities said. New Jersey authorities said they pursued Maron after receiving complaints from no fewer than 17 patients, including a 93-year-old Medi…
Teaneck Social Worker Charged With Collecting On Bogus Claims For Kids' Mental Health Services Teaneck Social Worker Charged With Collecting On Bogus Claims For Kids' Mental Health Services
Teaneck Social Worker Charged With Collecting On Bogus Claims For Kids' Mental Health Services A clinical social worker from Teaneck falsely billed the Medicaid program for mental health services she claimed she provided to at-risk children and adolescents, a state grand jury has charged. Gloria Andrade, 56, of Teaneck, was employed full-time as a social services specialist with the Township of Teaneck when she submitted the bogus claims while working a side job as a solo practitioner providing in-home counseling and therapy to children, adolescents, and their families in the NJ Department of Children and Families’ Intensive In-Community Services program (IICS), authorities said). “L…
Clifton Medical Supplier Who Billed Medicaid For Dead Patients Gets 4 Years Clifton Medical Supplier Who Billed Medicaid For Dead Patients Gets 4 Years
Clifton Medical Supplier Who Billed Medicaid For Dead Patients Gets 4 Years CLIFTON, N.J. — A medical equipment supply store owner from Clifton was sentenced Thursday to four years in state prison for billing Medicaid more than $100,000 for medical supplies for dead people. Alfredo Valdes, Jr., 43, admitted in August that he submitted the bogus claims to Horizon NJ Health, a provider of Medicaid services in the state, through his T-N-T medical supplies company in the Hudson County city of West New York from January 2008 to March 2016. The durable medical equipment – including compression stockings, diapers and other items – were reimbursed in the name of patients w…