Health care fraud no longer a faceless crime (AP)
Saturday, February 5, 2011 2:01 AM By dwi
WASHINGTON – Health tending humbug used to be a faceless evildoing — until now.
Medicare and Medicaid scams outlay taxpayers more than $60 1000000000 a year, but the average slope robbery is probable to intend more attention. Seeking the public's help to grownup more than 170 crook fraudsters, the government has launched a newborn upbeat tending most-wanted list, with its own website.
Among those featured is author Nwafor, guilty a pair of years ago in Los Angeles of asking Medicare more than $1 meg for trimotored wheelchairs that beneficiaries didn't need. One of those who got a wheelchair was a blindfold man who after testified he couldn't see to control it.
Facing time in federal prison, Nwafor disappeared before his sentencing.
"We're hunting for newborn ways to advise the supply of catching fugitives," said Gerald Roy, help inspector general for investigations at the Health and Human Services Department. "If someone walks into a slope and steals $3,000 or $4,000, it would be all over the newspaper. These grouping control to do it from a less broad strikingness position, but they still have a tremendous impact."
Even though trimotored wheelchairs crapper separate from under $1,000 to $7,000 apiece, Nawfor's scam was on the baritone modify when compared to others who prefabricated the most-wanted list.
Sisters Clara and Caridad Guilarte allegedly submitted $9 meg to Medicare in simulated and fraudulent claims for pricey extract drugs that were never provided to patients. They are accused of offering cash and another rewards for beneficiaries to visit their clinic in Dearborn, Mich., and clew forms that said they conventional services that they never got.
An alleged helper was inactive in the friar Republic recently, but the sisters rest at large.
Scammers "often apply their ties to a particular community," said Roy. "They verify advantage of social communities supported on language barriers or demand of noesis most how the Medicare system works. These folks are exploiting low-income communities."
Another fugitive, Susan Bendigo, is accused of asking California's Medicaid program for $17 meg in nursing care, much of which was performed by staffers who weren't licensed. A registered nurse herself, Bendigo was the nursing administrator for a consort that provided organisation for bag upbeat agencies. Allegedly, she was full alive that she was required to send licensed nurses to tending for patients.
Topping the itemize are Algonquin brothers Carlos, Luis and Jose Benitez. Owners of a progress of scrutiny clinics, they allegedly scammed Medicare out of $119 meg by asking for expensive HIV drugs that patients never conventional or did not need. Authorities say they bought hotels, helicopters and boats before fleeing to Cuba.
The FBI has the marquee most-wanted list, but the Environmental Protection Agency and another federal agencies also maintain their own. Roy said he hopes this newest itemize module improve awareness most the grandness of combatting upbeat tending fraud. Medicare and Medicaid, which wage tending for most 100 meg Americans, are in earnest business trouble and can't give to be hemorrhaging tens of zillions a assemblage because of fraud.
Most fraudsters go to enlarge lengths to avoid existence detected. But there is often whatever telltale sign.
To writing his transactions, wheelchair purveyor Nwafor assembled enlarge paper files, complete with phoney prescriptions and photos of beneficiaries in their wheelchairs. But investigators had a impression they were on to something when they unconcealed that most of his customers lived nearly 200 miles away from his Los Angeles-area accumulation front.
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Online:
Most-wanted itemize of upbeat tending fugitives: http://www.oig.hhs.gov/fugitives
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