Showing posts with label FRAUD. Show all posts
Showing posts with label FRAUD. Show all posts

Saturday, February 07, 2009

Illegals Immigrants draining social services? A lie or a Lie.!!


There is no such as Illegal Immigrant either someone as undocumented Immigrant caugh draining or commited any fraud against any social services. Why continue blaming them for God sake. This is the main problem in America. Some have eyes but cannot see," "Some have tongues but cannot speak the truth. They have ears but can't hear. That's where the problem is".

According to their 2008 SEC filings, the largest hospital chain in the U.S., the Hospital Corporation of America (HCA) - founded by the family of former Senator and Majority Leader Bill Frist; After his Senate career, Frist became a partner with health-care investment firm, and chairman of a nonprofit (????) charitable (???) foundation focusing on Global health initiatives and Education issues- reports that in 2008 about 49% of their revenues and 59% of their hospital admissions were Medicare and Medicaid "related." In 2007, HCA reported revenues of $26.9 billion, approximately $16 billion of which was paid for by American taxpayers.

What most people may not know is that HCA plead guilty to 14 felonies and was hit with a $1.7 billion fine – far and away the largest such fine in history - for Medicare fraud. These fines, it seems, were a minor bump in the road for HCA, on their way to grabbing hundreds of billions of American taxpayer dollars in the years to come. Doctors and hospitals reap the financial benefit of surgeries, whether they are warranted or not. American taxpayers, both in terms of Medicare/Medicaid payouts and higher insurance premiums, pay the real price. Source



A former Oklahoma pharmacist faces up to five years in prison on a federal fraud charge for making a false claim to Medicaid.

Sentencing for Gary Wayne Nichols, 33, is expected in the next 60 days, said Bob Troester, spokesman for the U.S. attorney’s office in Oklahoma City.
Nichols was charged in September with one count of making a false claim, and pleaded guilty to the felony in November. As part of a plea deal, he’s agreed to pay $180,000 in restitution, said his attorney, Jean Paul Bradshaw.
Bradshaw said his client wants to take responsibility for his actions.
"He’s a very hard-working guy who got caught up in what he was doing and made some mistakes,” he said. "He’s sorry for what he did and is trying to make amends.”

Billed Medicaid $339,436 for prescriptions for nursing home patients that were not prescribed or filled.

Bought $100,000 in drugs for $25,000 in the parking lot of one of his pharmacies and tried to use the drugs to fraudulently get a refund from a drug company. They belonged to a tribal health clinic.



Man had six pharmaciesT

he case stems from a 2006 investigation by the state Board of Pharmacy and the state attorney general’s office that resulted in Nichols losing his pharmacist license.
He was licensed in 2001 and had been owner or part owner of six pharmacies in Moore, Oklahoma City, Altus, Guthrie, Allen and Lexington.
John Foust, executive director of the Board of Pharmacy, said Nichols’ case is one of the larger fraud cases investigated by his office.
Nichols lost his license and was fined $11,000 by the board.

Friday, January 23, 2009

California will recover 112 million for Medi Cal Program fraud.


Attorney General Edmund G. Brown Jr. today announced that California will recover $112 million for its Medi-Cal program as part of a national settlement with Eli Lilly and Company for the unlawful off-label marketing of its anti-psychotic drug Zyprexa, which the company aggressively marketed for such unapproved uses such as treatment for depression, anxiety, irritability, disrupted sleep, nausea and gambling.

“This settlement means that Eli Lilly can no longer reap massive profits by aggressively marketing this drug for unapproved uses at the expense of state health care programs for seniors and the infirm,” Attorney General Brown said. “California’s Medi-Cal program will receive almost $112 million, which is more than welcome at a time when the state faces massive budget deficits.”

Eighteen percent of the $112 million recovered for the Medi-Cal program will go to relators (whistleblowers) – the remainder will be split between the State, which will receive $54 million and the federal government, which will receive $41 million.

Beginning in 2001, Eli Lilly launched a marketing campaign called “Viva Zyprexa!” which encouraged physicians to prescribe Zyprexa for children, adolescents, and dementia patients.

In October 2008, the California Attorney General entered a settlement with Eli Lilly over the Zyprexa marketing campaign. In his original complaint, Attorney General Brown alleged that Eli Lilly engaged in unfair and deceptive practices when it marketed Zyprexa for off-label uses and failed to adequately disclose the drug’s potential side effects (including diabetes and hyperglycemia) to healthcare providers.

Under this settlement, Eli Lilly agreed to change its marketing practices and to cease promotion of its off-label uses. Off-label uses are those not approved by the FDA when it approves the sale and use of a particular drug. Physicians are allowed to prescribe drugs for off-label uses, but federal law prohibits pharmaceutical manufacturers from marketing products for off-label uses.

The total settlement is $1.415 billion—the largest recovery in a health care fraud investigation in U.S. history. The settlement includes $800 million in civil damages to be paid to the States and $615 million as a result of criminal charges brought against the company for illegal marketing.

Although both California and the U.S. contribute 50% to the funding of the Medi-Cal program, California’s share is larger than the federal share due to the federal Deficit Reduction Act, which provides monetary incentives to states to use False Claims Acts to pursue Medicaid fraud.

Tuesday, January 06, 2009

Cardiologist Convicted of 51 counts of Healthcare Fraud. Ethic? Moral?


United States Attorney Donald W. Washington, along with Health & Human Services Office of Inspector General Special Agent in Charge, Mike Fields, and FBI, New Orleans Division, Special Agent in Charge, David Welker, announced the conviction of DR. MEHMOOD M. PATEL, 64, of Lafayette, by a federal jury of healthcare fraud After a three-month trial which began on October 1, 2008, and six days of deliberation, a jury returned a guilty verdict on 51 counts of healthcare fraud in United States District Court in Lafayette.

After the verdict Tuesday evening, Judge Tucker Melancon denied the government’s motion for detention before sentencing, but increased Patel’s release bond obligation to $500,000.00. The court also ordered the defendant to surrender all medical licenses, including those allowing him to practice medicine
in Louisiana, Canada, India and elsewhere by 9:00 a.m. on December 31, 2008. A date for sentencing is expected to be set soon
.

PATEL was indicted in February 2006 stemming from a complaint made to the Department of Health & Human Services that the defendant was placing stents in people who did not need them. A search warrant was executed on Patel’s office in November 2003, at which time patient files were seized. Beginning on or about September 2003, Our Lady of Lourdes (OLOL) Hospital in Lafayette, LA conducted an internal investigation leading to the suspension of DR. PATEL’S privileges at OLOL. A similar process was undertaken by Lafayette General Medical Center (LGMC) in late 2003 and early 2004 which also led to DR. PATEL being suspended from practicing at LGMC. After the hospitals suspended the defendant’s privileges, the Louisiana State Medical Board restricted DR. PATEL’S license to practice interventional cardiology, leaving him the ability to practice internal medicine pending the results of the criminal trial.

Testimony at trial revealed that MEHMOOD M. PATEL, M.D., who has been practicing interventional cardiology in Lafayette, Louisiana and surrounding areas for more than 25 years, was falsifying patient symptoms in medical records, falsifying findings on medical tests, and performing unnecessary coronary procedures such as deploying angioplasty balloons and stents. Testimony from experts in cardiology specialties revealed that the defendant deployed stents, balloons and radiation in coronary arteries that had little or insignificant disease. Testifying medical experts included doctors from Emory University in Atlanta, GA, the University of Pennsylvania Medical School in Philadelphia, PA, Mt. Sinai Hospital in New York City, and the University of California at Los Angeles, CA, as well as cardiologists practicing in Louisiana. Each expert testified about only a small number of the thousands of procedures performed annually for many years by DR. PATEL. The indictment in the case contained 91 counts involving only 75 patients chosen by the government with the help of these experts.

Additionally, the jury heard testimony from dozens of other government witnesses including medical technicians, nurses, and patients who painted the defendant as one who lacked concern for patient care and safety. Many of the nurses and technicians indicated their concerns and made complaints to their supervisors after witnessing unnecessary angioplasty procedures performed by the defendant doctor. Testimony also revealed that DR. PATEL was performing unnecessary medical procedures and billing both Medicare and private insurance companies, which added up to millions of dollars paid to DR. PATEL and the hospitals where many of the procedures were performed. During the years 1999-2003, DR. PATEL was the number one biller in cardiology services for the State of Louisiana. During the approximately three-year period covered by the indictment, DR. PATEL billed Medicare and private insurance companies more than $3 million, of which he received $541,745.00 from this scheme. The indicted charges included less than $90,000.00 of the amount received by the defendant.

DR. PATEL performed procedures at both Our Lady of Lourdes Hospital and Lafayette General Medical Center, as well as a leased mobile catheterization lab located outside his practice, Acadiana Cardiology, before he opened his own catheterization lab in mid-2002 on the second floor of his office on St. Julien Street in Lafayette, Louisiana.

United States Attorney Donald W. Washington stated: “Patient care and safety are the primary duty of all healthcare providers. Doctors are never privileged to perform medically unnecessary procedures on any person for any reasons whatsoever. I hope that this matter sends a strong message to those good and honorable medical professionals to police their ranks and be faithful to their credo of doing no harm to any patient. Healthcare providers like Dr. Patel are not entitled to payment by federal and/or private health plans for medically unnecessary procedures. Physicians must be held accountable when they fail in their primary mission to care for their patients appropriately, ethically and respectfully. Healthcare fraud will continue to remain a priority for this office, and we will aggressively investigate and devote our full attention and resources to matters of this magnitude.”


Special Agent in Charge for Health & Human Services Office of Inspector General, Mike Fields, stated: “Yesterday, Dr. Patel heard from this jury what healthcare providers who defraud Medicare are hearing from juries all over America - you will be held accountable for your greed. HHS-OIG agents will
continue to work closely with our state and federal law enforcement partners to protect the Medicare Trust Fund.”

Special Agent in Charge of the FBI’s New Orleans Division, David Welker, stated: “It is reprehensible to think that a medial professional would put patients at significant risk and conduct medically unnecessary procedures simply to fill their personal coffers. Hopefully, as U.S. Attorney Donald Washington notes, this conviction should send a powerful message to healthcare providers of the perils of deviating from their oath. It should also send a message to patients to be personally involved in their own care. We will continue to aggressively investigate healthcare fraud to ensure the safety of the public.”
PATEL faces a maximum of ten years imprisonment, a fine not more than $250,000.00, and a term of not more than three years of supervised release following confinement.

Sentencing in federal court is determined by the discretion of federal judges and the governing statutes. Parole has been abolished in the federal system. This case was investigated by Special Agent Barbara Alleman of Health & Human Services and Special Agents Troy Chenevert and Greg Harbourt of the Federal Bureau of Investigation. The case was prosecuted by United States Attorney Donald W. Washington and Assistant United States Attorney Kelly
Uebinger

Monday, December 15, 2008

Latin Immigrants makes heavy use of Welfare. Stir it up your Anti Immigrant Soup.!!!!


This is my response to Steven Camarota from the Think Tank group Center for Immigration Studies regarding blaming Undocumented Immigrants as the major source of draining social services like Welfare, Medicare and MediCaid.


Steve Camarota:

Estimate that 90% of Mexican and Latin American households have at least one worker. Their heavy welfare use reflects their low education levels and resulting low incomes – and not an unwillingness work.

Wrong...For low Education just .click here: and here, Here. My main focus is to find the true and not guessing or estimate like Steve Camarota, Lou Dobbs, and so on and on. Let's focus on facts.

Myth: Mexicans and Latin Americans makes heavy use of Welfare?

Facts: To the contrary, undocumented immigrants are not eligible to receive any "welfare" benefits and even legal immigrants are severely restricted in the benefits they can receive.

As the Congressional Research Service points out in a 2007 report, undocumented immigrants, who comprise nearly one-third of all immigrants in the country, are not eligible to receive public "welfare" benefits -- ever.

Legal permanent residents (LPRs) must pay into the Social Security and Medicare systems for approximately 10 years before they are eligible to receive benefits when they retire. In most cases, LPRs can not receive SSI, which is available only to U.S. citizens, and are not eligible for means-tested public benefits until 5 years after receiving their green cards.

A 2007 analysis of welfare data by researchers at the Urban Institute reveals that less than 1 percent of households headed by undocumented immigrants receive cash assistance or Welfare for needy families, compared to 5 percent of households headed by native-born U.S. citizens.

Facts: Six people suspected of allegedly defrauding child care welfare programs of more than $1 million were arrested Friday, the District Attorney's Office reported.

Total of nine defendants, including a county employee of the agency that administers welfare programs, are charged in three separate cases, according to the District Attorney's Office.

Beatrice Harvey, 28, was arrested Nov. 26 at the Los Angeles County Department of Public Social Services office in Lancaster, where she works, officials said.

She has pleaded not guilty and remains jailed on $181,000 bail.

Harvey allegedly applied for and received more than $136,000 in aid between Nov. 30, 2001, and June 30, 2006. She allegedly failed to report that she was married and that her husband was fully employed by the county Department of Children and Family Services, the District Attorney's Office reported.

Harvey is due at the downtown Los Angeles courthouse next Monday. She is scheduled to be set for a hearing to determine if there is enough evidence to require her to stand trial on one felony count of grand theft of personal property and five felony counts of perjury by declaration.

Those arrested Friday by investigators from the District Attorney's Office were:

Erica Manesha Dunn, 27, of North Hills;

Tammi Howard, 41, of Los Angeles;

Sannice Lavette Arthur, 41, of Los Angeles;

Cedric Dale, 41, and Darlene Jenkins, 46, who were arrested near Fort Worth, Texas.

Greta Marie Brown, 36, who was arrested in Long Beach.
Prosecutors allege Dunn, Howard and Arthur allegedly collected more than $665,000 for child care services that were not provided
.

Dale is charged with orchestrating the theft of more than $340,000 of child care funds with Jenkins and Brown. The three allegedly worked with defendants connected with Harvey, according to the District Attorney's Office.

And for more Facts just click here: CIS, CIS2, CIS3, CIS4, CIS5.

Friday, December 12, 2008

Former IRS Employee involved on Tax Refund Scheme.


FORMER IRS EMPLOYEE AND WIFE SENTENCED IN D.C. PROPERTY TAX REFUND FRAUD SCHEME

Fraudulently Obtained Nearly $9 Million in D.C. Government Checks;
Used Funds to Purchase at Least Four Jaguars, a Townhouse and Vacations to the Bahamas.


Greenbelt, Maryland—U.S. District Judge Alexander Williams, Jr. sentenced former IRS employee Robert O. Steven, age 55, of Edgewater, Maryland, today to 46 months in prison followed by three years of supervised release, and his wife Patricia A. Steven, age 73, of Harwood, Maryland, to 70 months in prison followed by three years of supervised release, for receipt of stolen property and conspiracy to commit money laundering in connection with a property tax refund scheme in which over $48 million were stolen from the District of Columbia Office of Tax and Revenue, announced United States Attorney for the District of Maryland Rod J. Rosenstein and U.S. Attorney for the District of Columbia Jeffrey A. Taylor.

Judge Williams also ordered that Robert Steven and Patricia Steven each pay $8,833,310.32, and, in order to satisfy such money judgment, to forfeit three Jaguar cars, two residences, jewelry and monies held in four bank accounts.

U.S. Attorney Rod J. Rosenstein stated, “This case is particularly egregious because Robert Steven was an IRS employee when he joined in this conspiracy to steal millions of dollars from D.C. taxpayers and spend the money on luxury items, and his wife Patricia Steven spent over 16 years laundering almost $9 million into a bank account she controlled with her husband. We seek the forfeiture of all criminal proceeds and property purchased with stolen money because victims deserve restitution and criminals must not be permitted to profit from their crimes.”

“Money laundering is not a victimless crime. The underground, untaxed economy harms the entire nation’s economic strength. IRS-Criminal Investigation is united with the rest of the law enforcement community in our resolve to financially disrupt criminal organizations that commit crimes against our society and economy,” said C. Andre' Martin, Internal Revenue Service-Criminal Investigation Special Agent in Charge.

According to court documents, Robert Steven was employed with the IRS since 1975. At the time of his arrest, Steven’s position was Division Director, Modernization Information Technology Systems, and his office was located at the IRS National Office in New Carrollton, Maryland.

According to the plea agreements, Patricia Steven first met Harriette Walters, a former manager within the District of Columbia Office of Tax and Revenue, in the mid-1970s. By the late 1980's, Harriette Walters proposed that Patricia Steven deposit a check drawn on a District of Columbia government bank account and made payable to Patricia Steven. Walters explained that Steven would be allowed to keep a portion of the proceeds from the check, but would have to return a substantial portion to Walters. Despite knowing that Walters obtained the check fraudulently, Patricia Steven agreed and deposited the first check.

Robert and Patricia Steven opened a business that eventually developed into a clothing design business called “Bellarmine Design.” Bellarmine Design never grossed more than $15,000 in a single year. From 1990 to 2007, Patricia Steven and Harriette Walters made 67 deposits of fraudulently obtained District of Columbia government checks or cash proceeds from the scheme into a Bellarmine Design checking account maintained by Steven and Patricia Steven. The individual checks ranged in amounts from a handful of initial deposits over $4,000 each, to subsequent deposits of up to $490,000. Patricia Steven also transferred at least $344,700 to Harriette Walters.

Patricia and Robert Steven transferred at least $1,709,500 of these funds into another bank account used primarily by Robert Steven. Using these funds, Robert and Patricia Steven purchased at least four Jaguar cars, a townhouse located in Edgewater, Maryland and multiple vacations to the Bahamas.

Harriette M. Walters, age 52, of Washington, D.C., pleaded guilty in the U.S. District Court for the District of Columbia and faces a maximum sentence of 20 years in prison for wire fraud and money laundering conspiracy; 10 years for District of Columbia tax evasion; five years for federal tax evasion; and an order to pay restitution in the amount of $48,115,419.09. U.S. District Judge for the District of Columbia Emmet G. Sullivan has scheduled her sentencing for March 25, 2009 at 11:00 a.m. Alethia O. Grooms, age 52, of Clinton, Maryland and Samuel Earl Pope, age 61, of Washington, D.C. also pleaded guilty to their participation in the scheme. Judge Sullivan scheduled their sentencing for February 24 and 26, 2009.

Jayrece Turnbull, age 34, of Bowie, Maryland, who is Harriette Walters’ niece, pleaded guilty in the U.S. District Court for the District of Maryland in Baltimore to her participation in this tax refund scheme in which she deposited over $24 million in fraudulently obtained government checks into accounts she controlled. She faces a maximum sentence of 10 years in prison for receipt of stolen property; 20 years in prison and a fine of $500,000 or twice the value of the transactions involved, whichever is greater, for conspiracy to commit money laundering; 30 years for mail fraud; and five years and a fine of $250,000 or twice the gain or loss, whichever is greater, for tax evasion. Judge Williams has scheduled her sentencing for February 4, 2009 at 9:30 a.m.

Judge Williams sentenced Ricardo R. Walters, age 33, of Ft. Washington, Maryland, on July 23, 2008 to 78 months in prison for receipt of stolen property and conspiracy to commit money laundering. Judge Williams sentenced Richard Walters, age 49, of Bowie, Maryland, who is Harriette Walters’ brother, on November 4, 2008 to 51 months in prison for receipt of stolen property and conspiracy to commit money laundering in connection with this scheme.

Marilyn Yoon, age 40, of Derwood, Maryland; Walter Jones, age 33, of Essex, Maryland; and Connie Alexander, age 53, of Bowie, Maryland have also pleaded guilty to their participation in the scheme. Yoon, the next defendant to be sentenced, faces a maximum sentence of 10 years in prison and a $250,000 fine for possession of property obtained by fraud at her sentencing scheduled for December 11, 2008 at 1:30 p.m. Walter Jones faces a maximum sentence of 20 years in prison and a fine of $500,000 or twice the value of the transactions involved, whichever is greater, for conspiracy to commit money laundering at his sentencing on January 5, 2009. Alexander faces a maximum sentence of 10 years in prison for receipt of stolen property and 20 years in prison for conspiracy to commit money laundering at her sentencing scheduled by Judge Williams for February 12, 2009.

United States Attorneys Rod J. Rosenstein and Jeffrey A. Taylor thanked the Federal Bureau of Investigation; the Internal Revenue Service - Criminal Investigation; the Inspector General’s Office for the District of Columbia; the District of Columbia Office of Tax and Revenue, Criminal Investigation Division; the Treasury Inspector General for Tax Administration; and the District of Columbia Office of the Chief Financial Officer, Office of Integrity and Oversight for their investigative work. Mr. Rosenstein commended Assistant United States Attorneys Jonathan Su and Deborah Johnston from the District of Maryland and Assistant United States Attorneys Timothy Lynch and David Johnson from the District of Columbia, who are prosecuting the case.

Tuesday, December 09, 2008

Tax Evasion with no paper trail.


The IRS has estimated that $50.0 billion in U.S. tax revenue is lost to evasion annually. Based on data showing the value of high-net-worth individuals and the proportion of their portfolios held offshore, $255.0 billion in worldwide tax revenue is lost annually from U.S. Citizens, and more than $400.0 billion from companies Blaming Undocumented Immigrants guilty of the "outright of Tax Evasion. We need a new IRS commissioner that respects the rule of law and understands that tax reform is needed to fix the problems in the tax code.
The misguided initiative, which would require U.S. financial institutions to automatically report the interest paid to foreign investors, is contrary to U.S economic interests. Faced with a loss of privacy, foreigners will take their money out of American banks, meaning less loan money available for families and businesses
.

Fiscal deficits are ballooning now that America and Europe are paying for auto bailouts and stimulus packages, so you'd think their governments would be keener than usual to crack down on tax cheats for the extra billions in revenue it could bring in. They are, but with glacial zeal.

Liechtenstein signed an agreement with U.S. authorities on Monday in which it would, starting Jan. 1, 2010, provide information on U.S. banking clients who are being investigated for dodging tax. The tiny Alpine principality is renowned for allowing the world's wealthy to hide their money and (for some) to dodge the tax man.

Yet while this all sounds like good news, it is still miles away from the easy information sharing that's needed to help stop tax evaders. The so-called Tax Information Exchange Agreement that Liechtenstein has signed is notoriously difficult to use: a similar agreement between the island of Jersey and the United States was signed in 2002, yet has been used only four times.

The problem is that American authorities need to be armed with substantial evidence on a banking client before Liechtenstein will hand over any information, and that is nearly impossible considering that most tax evaders work hard to ensure they leave no paper trail. A spokesman for the principality told Forbes.com that "fishing expeditions," in which U.S. authorities would seek significant amounts of information in order to identify tax evaders, would not be possible.

Richard Murphy Founder of tax consultancy Tax Research, said Monday's agreement would at least help act as a deterrent to wealthy people who were looking for a place to hide their money from the U.S. Internal Revenue Service or other tax agencies: they may instead opt for Dubai, Singapore or Switzerland. The move also puts pressure on Switzerland to sign a similar agreement. "It's a symbolic move and it's a disincentive, but it's not going to be used that often," he said.

More significant would be the passing of a law that calls for full automatic information exchange from offshore tax havens. The European Union published its revised savings tax directive on Nov. 13, which proposes just that, and while it could still be years before a law is finally passed, that proposal has the support of Europe's Council of Finance Ministers.

Thursday, December 04, 2008

Undocumented Immigrants draining social services. Ignorance or Lie?.


It is important to note that an Indictment should not be considered as evidence of guilt and that all persons charged with a crime are presumed innocent until proven guilty beyond a reasonable doubt. So why Nativist, Protectionists, Anti Immigrants considered Undocumented Immigrants Criminals without an evidence of a crime? Ignorance is not a Family value either a development skills.

Obama's recent statement that " This isn't about big government or small government. It's about building a smarter government that focuses on what works" and predicted that "...we'll hear a lot about the defense department and homeland security. I suspect that we will hear nothing about the education department, health and human services, housing and urban development and all the other oriented special interests out there."

I hope that Obama administration really goes through the department of Health and Human Services entitlement programs, Social Security, Department of Homeland security and Pentagon to find the waste, fraud and abuse in these programs. There are literally tens of billions of dollars from these programs that could be better invested in public transportation, education and job training rather than scapegoating and blaming the undocumented Immigrants for all of their crisis.

United States Attorney Rebecca A. Gregory announced today that a Port Arthur medical billing business and three employees have been indicted and charged with multiple counts of Health Care Fraud related violations in the Eastern District of Texas.

ASHLEY COLLIN WALKES, 36, of Houston, ISAM NAZMI ANABTAWI, 77, of Groves, KRISTI ROSE, 30, of Bridge City, and 4500 GULFWAY MEDIC MANAGEMENT, PA, a Port Arthur business, have each been charged with 150 counts of Health Care Fraud in an indictment returned by a federal grand jury late today.

According to the indictment, from September 2004 until March 2008, Medic Management PA, a "pain management facility", under the direction of Walkes, Anabtawi, and office manager Kristi Rose, fraudulently billed Medicaid, Medicare, and private insurance for physical therapy and office visits.

Medic Management billed Medicaid, Medicare and private insurance for thousands of physical therapy sessions, despite the fact that the clinic never employed a licensed physical therapist, and treatment was provided by unsupervised personnel who had no physical therapy training, but all the physical therapy sessions were billed as if they were performed by Dr. Anabtawi. In total, Medic Management billed Medicaid, Medicare, and private insurance nearly $7.5 million for physical therapy and was paid nearly $4.2 million. Also, Medic Management billed Medicaid, Medicare, and private insurance for thousands of office visits claiming each patient was seen by Dr. Anabtawi for approximately 25 minutes, when each patient was only actually seen for five minutes or less. From September 2004 until March 2008 Medic Management billed the government approximately $2.5 million for office visits and was paid $633,749.51.

Walkes was also indicted for six counts of money laundering and one count of making a false statement during a health care investigation. The money laundering counts stem from Walkes' use of the fraudulently obtained money to make large purchases for himself, including things such as cars, houses, and nearly $37,000 in landscaping costs. Rose was indicted with Walkes on one of the money laundering counts for accepting a check for $20,000.

Anabtawi was indicted for 149 counts of health care fraud and one count of conspiracy to commit health care fraud. Rose was indicted for 149 counts of health care fraud, one count of conspiracy, and one count of money laundering. Walkes was indicted for 149 counts of health care fraud, one count of conspiracy, one count of making a false statement related to a health care investigation, and six counts of money laundering. The clinic itself was indicted for 149 counts of health care fraud and one count of conspiracy.

The case was jointly investigated by the Texas Attorney General's Office and the Federal Bureau of Investigation and is being prosecuted by Special Assistant United States Attorney Christopher Tortorice

Tuesday, December 02, 2008

Undocumented Immigrants draining social services? A lie or a Lie.


I really question the Notion or lie that Undocumented Immigrants draining social services or brankrupt Hospitals.

If they were too old to work chances are they would not be here. And if they can not work due to some physical problem chances are they would not be here either. The vast majorities of Undocumented Workers entering U.S. are between 18-30 years old and are fit for work. I think the stats on this so-called social services drain is more fiction than fact. And again if a few they are not paying their fair share of the taxes you can not blame them, they do not sending the tax money, the employer does.

I will continue exposing the fact that Hospitals, CEO's, Managers, vendors, Suppliers, even some Doctors are the burden and the major factor of draining U.S. social services and not the Undocumented Immigrants.

Condell Medical Center in Libertyville, Ill., is to pay $36 million to settle allegations it accepted improper payments, federal prosecutors said Monday. The settlement resolves allegations the center accepted improper payments from Medicare and Medicaid programs for more than five years. Continue reading here:

A federal judge in Houston on Monday also ordered 55-year-old Edem James Etuk to repay nearly $1.6 million to Medicare and Medicaid. Continue reading here:

An Alabama court has ordered two major drug companies to pay the state more than $114 million after finding them guilty of Medicaid price fraud. Continue reading here:

Walgreen Co., owner of Walgreens Pharmacy, has agreed to pay $35 million to settle a federal lawsuit accusing it of defrauding Medicaid by switching patients onto more expensive drugs, Continue reading here:

A doctor who claimed he provided Medicare and Medicaid-covered services in Martinsburg - more than 250 miles away from his office near Parkersburg, W.Va. - has been named in a 157-count indictment by a federal grand jury in Martinsburg. committed mail fraud by devising a scheme to defraud in an attempt to obtain about $2.25 million from Department of Health and Human Services programs. Continue reading here:

Are you follow me; Continue reading because this is not the ending.

The former president of the Nevada State Medical Association, the state’s largest physician advocacy group, is one of six Las Vegas doctors who have repaid a total of $625,000 to the federal government to resolve allegations of Medicare fraud stemming from an apparent kickback scheme. who allegedly performed unnecessary services and then submitted claims to Medicare, the federal government’s insurance program for people who are disabled or over age 65. Continue reading here:

An investigation into what the authorities say was a scheme that used homeless people to bilk tens of millions of dollars from federal and state health insurance programs began four years ago with a tip from a rescue mission employee. federal agents raided three private for-profit hospitals — Los Angeles Metropolitan Medical Center, City of Angels Medical Center, and Tustin Hospital and Medical Center in Orange County — in connection with an alleged fraud scheme involving federal Medicaid and state Medi-Cal health insurance programs. Agents arrested Dr. Rudra Sabaratnam, owner and chief executive of City of Angels Medical Center, and Estill Mitts, who is accused of recruiting patients from his Skid Row storefront church, the 7th Street Christian Day Center. Mr. Mitts posted $25,000 bond and is confined to his home. Dr. Sabaratnam posted $700,000 bail. Continue reading here:

Bayer HealthCare will pay $97.5 million plus interest to settle allegations that it paid kickbacks to 11 diabetic supply companies in a "cash-for-patient" scheme, and caused those suppliers to submit false claims to Medicare. Continue reading here:

Health care continues to top the government's list of federal fraud investigation priorities, yielding the lion's share of recoveries in false claims cases in 2008.

The latest figures from the Dept. of Justice show enforcement officials recouped $1.34 billion in settlements and judgments under the False Claims Act in the fiscal year ending Sept. 30. Of that total, $1.12 billion, or 84%, came from health care entities. The act gives federal officials authority to prosecute fraudulent billing of any government program.
That number represents a drop from the $1.54 billion in recoveries reported in 2007 and a record $2.2 billion in 2006. But that doesn't mean federal prosecutors have let up efforts to combat health care fraud, said Russell Hayman, a partner and health care fraud expert with McDermott Will & Emery LLP in Los Angeles.
The government tallied its biggest returns in 2008 from settlements with pharmaceutical firms Merck & Co. Inc. and Cephalon Inc., and managed care company Amerigroup, with recoveries ranging from $225 million to $361 million.

But what was the outcome and consecuence of the Narrow minded, and Anti Immigrant sentiment? coming soon...

Monday, November 17, 2008

Undocumented Immigrants Draining social services?


A Clinic owner has been sentenced to 2.5 years (30 months) for defrauding Medicare 10.9 Millions which this sentence is far too light. Not only do we need to clean up this medicare fraud cesspool but we need to be sending a very strong signal to each of these criminals that the game is over, find something ethical or positive to do for your fellow taxpayers Citizens or pay real penalties. I am sure these people look at 2.5 years in federal camp as a great way to make 100x what they would have made in an honest job. With this sentencing, we continue to send the signal that white collar crime does pay. Very wrong signal. At the same time we need to expose that the real criminals which draining social services are not Undocumented Immigrants are the Owners, Hospital CEO's, CFO's,and the list goes on and on.

Nayda Freire, 61, was sentenced Wednesday to 30 months in prison and ordered to pay nearly $8 million in restitution for defrauding Medicare in connection with a $10.9 million HIV infusion fraud scheme.

Freire pleaded guilty to one count of conspiracy to commit health care fraud in connection with her role as the owner of Global Med-Care Corp., a Miami-area HIV clinic that claimed to provide HIV infusion services to Medicare beneficiaries.

Freire admitted that, between April and November 2003, she and others conspired to file $10.9 million in false claims to the Medicare program for HIV infusion services that were not provided and were not medically necessary.

Patients were given kickbacks in return for agreeing to allow Global Med-Care to bill Medicare for the unneeded services.

Freire admitted that she and co-conspirators transferred $6 million to sham management, marketing and investment companies owned and operated by Carlos, Luis and Jose Benitez.

Carlos and Luis Benitez and Thomas McKenzie were charged separately with health care fraud and money laundering crimes in an indictment unsealed on June 11.

On Sept. 18, McKenzie pleaded guilty to one count of conspiracy to commit health care fraud and one count of submitting false claims to the Medicare program, and also admitted his role in a $119 million HIV infusion fraud scheme. The Benitez brothers remain fugitives.

Wednesday, November 05, 2008

Jobs that Undocumented Immigrants Won't do.


Remember Lincoln quote: You can fool some of the people all of the time and all of the people some of the time, but you can't fool all of the people all of the time."

We are hearing from Nativists, Anti Immigrants reports of employers using Undocumented Immigrants or instances of Undocumented Immigrants engaged in criminal activity like committing fraud, Tax Evasion, stolen property but when we are talking about Citizens engaged on illegal activities which Undocumented Immigrants are put the blame on; They are remained quiet. I never said I supported breaking the law, but I feel for those who have to risk their lives, their families, their Country, and leave loved ones behind to come to America for a better life deserves an opportunitty specially those are not engaged in criminal activities.

Once a government is committed to the principle of silencing the voice of opposition, it has only one way to go, and that is down the path of increasingly repressive measures, until it becomes a source of terror to all its citizens and non Citizens to creates a country where everyone lives in fear. And I refuse to fall for false reassurances and the tempting comforts of ignorance, and I want to contribute my voice in outrage, when others are forced into silence, To speak the truth as I find it in favor of Justice for all
.

This is a case of $48 million were stolen from the District of Columbia Office of Tax and Revenue.

U.S. District Judge Alexander Williams, Jr. sentenced Richard Walters, age 49, of Bowie, Maryland, today to 51 months in prison followed by three years of supervised release for receipt of stolen property and conspiracy to commit money laundering in connection with a property tax refund scheme in which over $48 million were stolen from the District of Columbia Office of Tax and Revenue, announced United States Attorney for the District of Maryland Rod J. Rosenstein and U.S. Attorney for the District of Columbia Jeffrey A. Taylor. Judge Williams also ordered that Richard Walters forfeit $4,900,199 and, in order to satisfy such money judgment, to forfeit a home in the Virgin Islands, two homes in Bowie, Maryland, a 2005 Bentley, four other vehicles, jewelry and monies held in several bank accounts.

U.S. Attorney Rod J. Rosenstein stated, “Richard Walters and Harriette Walters deposited fifteen District of Columbia government checks totaling almost $5 million into a bank account in the name of his plumbing business over a period of six years. We will seek the forfeiture of all criminal proceeds and property purchased with stolen money because victims deserve restitution and criminals must not be permitted to profit from their crimes.”

According to the plea agreement, Richard Walters is the brother of Harriette Walters, a former manager within the District of Columbia Office of Tax and Revenue. Richard Walters owned and operated a plumbing business called “Helmet’s Plumbing.” From March 2001 to May 2007, Richard Walters, and on occasion, Harriette Walters with Richard’s knowledge, deposited 15 District of Columbia government checks totaling $4,900,199 into a bank account Richard Walters maintained for his plumbing business. Richard Walters knew that the checks had been obtained by fraud as part of a scheme to embezzle funds from the District of Columbia government. The individual checks ranged in amounts from approximately $95,148 to $541,100.

On many occasions, Harriette directed Richard to take the checks to a bank and have Walter Jones, a bank manager, deposit them into the Helmet account. In addition, on several occasions, Richard Walters deposited a fraudulent District of Columbia government check and immediately thereafter directed Walter Jones to prepare cashier’s checks to recipients of Richard’s choosing.

From July 2001 to November 2007, Richard and Harriette Walters distributed funds from the Helmet account, including at least: 46 transactions directing $1,059,307.50 to accounts controlled by Richard Walters; 14 transactions directing $225,266.87 towards projects for a home that Richard Walters was building in the U.S. Virgin Islands; 11 transactions directing $461,000 to Harriette Walters; $47,149 to the Washington Wizards to purchase season tickets; $40,000 to Neiman Marcus; and $18,100 to Saks Fifth Avenue for purchases. Richard Walters also purchased a 2005 Bentley automobile with proceeds of the fraud.

Harriette M. Walters, age 52, of Washington, D.C., pleaded guilty in the U.S. District Court for the District of Columbia on September 16, 2008 and faces a maximum sentence of 20 years in prison for wire fraud and money laundering conspiracy; 10 years for District of Columbia tax evasion; five years for federal tax evasion; and an order to pay restitution in the amount of $48,115,419.09. U.S. District Judge for the District of Columbia Emmet G. Sullivan has scheduled sentencing for Harriette Walters on March 25, 2009 at 11:00 a.m. Alethia O. Grooms, age 52, of Clinton, Maryland and Samuel Earl Pope, age 61, of Washington, D.C. also pleaded guilty to their participation in the scheme, and are scheduled to be sentenced on February 24 and 26, 2009, respectively.

Patricia A. Steven, age 73, of Harwood, Maryland; Robert Steven, age 55, of Edgewater, Maryland; Connie Alexander, age 52, of Bowie, Maryland; Richard Walters, age 49, of Bowie, Maryland; Walter Jones, age 33, of Essex, Maryland; Marilyn Yoon, age 40, of Derwood, Maryland; and Ricardo R. Walters, age 33, of Ft. Washington, Maryland, have pleaded guilty in U.S. District Court for the District of Maryland to their participation in the scheme. Patricia Steven, Robert Steven, Richard Walters and Alexander each face a maximum sentence of 10 years in prison for receipt of stolen property and 20 years in prison for conspiracy to commit money laundering at their sentencing scheduled by U.S. District Judge for the District of Maryland Alexander Williams, Jr. on December 8 at 10:00 a.m., December 8 at 1:15 p..m., November 4, 2008, and February 12, 2009, respectively. Walter Jones faces a maximum sentence of 20 years in prison and a fine of $500,000 or twice the value of the transactions involved, whichever is greater, for conspiracy to commit money laundering at his sentencing on a date which is not yet scheduled. Marilyn Yoon faces a maximum sentence of 10 years in prison and a $250,000 fine for possession of property obtained by fraud at her sentencing on
December 4, 2008.


United States Attorneys Rod J. Rosenstein and Jeffrey A. Taylor thanked the Federal Bureau of Investigation; the Internal Revenue Service - Criminal Investigation; the Inspector General’s Office for the District of Columbia; the District of Columbia Office of Tax and Revenue, Criminal Investigation Division; the Treasury Inspector General for Tax Administration; and the District of Columbia Office of the Chief Financial Officer, Office of Integrity and Oversight for their investigative work. Mr. Rosenstein commended Assistant United States Attorneys Jonathan Su and Deborah Johnston from the District of Maryland and Assistant United States Attorneys Timothy Lynch and David Johnson from the District of Columbia, who are prosecuting the case.

Tuesday, October 21, 2008

Undocumented Immigrants Linking to Identity Theft: A myth or a lie?


Over the course of a year, defendants Anderton and Kirsch used the identities of more than 16 victims in numerous illegal transactions to obtain more than $119,000 in cash and merchandise. They also made failed attempts to obtain more than $122,000 in additional cash and merchandise. I want to pointed out were we do not want to believe that the genuine identities of possibly hundreds of thousands of US citizens are being stolen or hijacked by Citizens and criminal organizations and not by Undocumented Immigrants which we tended to blame because they do not have a Political voice either legal representation.

The government has used the charges against Undocumented Workers with the possibility of prison time to persuade people to plead guilty to lesser immigration violations. In other cases, defendants have been convicted of "aggravated identity theft," even without proof that they knew their phony ID numbers belonged to real people. The central question is whether the defendant must know that the counterfeit identification belongs to someone else. Federal prosecutors have increasingly been bringing the more serious identity theft charges against undocumented immigrants.

Defense lawyers have argued that their clients should not be charged with stealing an identity because the immigrants were seeking documentation only to allow them to work. They didn't know if the numbers were fictitious or belonged to someone else
.

When a person makes up a Social Security number, having no idea whether it belongs to someone else, it is hard to see how that conduct qualifies as 'theft' - much less 'aggravated theft. So what about the person who knows and have an idea who's that number belongs to?

Jocelyn Kirsch, 23, of Novato, California, was sentenced today to five years in prison for her role in an extensive identity theft and fraud scheme, announced Acting United States Attorney Laurie Magid. Kirsch pleaded guilty in July 2008, to conspiracy, aggravated identity theft, access device fraud, bank fraud, and money laundering. Between November 2006 and November 30, 2007, Kirsch and co-defendant Edward Anderton stole identity information, credit cards, and credit card account information from numerous victims, including friends, co-workers, neighbors, fellow students, bar patrons, and others, and used those stolen materials extensively to buy merchandise and obtain cash. Anderton pleaded guilty in June 2008 and is scheduled for sentencing on November 14, 2008. In addition to the prison terms, United States District Court Judge Eduardo Robreno ordered Kirsch to pay $101,033 restitution, a $600 special assessment, and to complete five years of supervised release.

Over the course of a year, defendants Anderton and Kirsch used the identities of more than 16 victims in numerous illegal transactions to obtain more than $119,000 in cash and merchandise. They also made failed attempts to obtain more than $122,000 in additional cash and merchandise. The defendants used the proceeds of their fraud scheme to help fund their lavish lifestyle that included trips to Florida, Paris, Hawaii, Montreal, and the Turks and Caicos Islands in the Caribbean.

The case was investigated by the Federal Bureau of Investigation, the United States Postal Inspection Service, the Philadelphia Police Department, The University of Pennsylvania Police Department, and the Philadelphia District Attorney’s Office. It was prosecuted by Assistant United States Attorney Louis D. Lappen and Special Assistant United States Attorney Lisa Caulfield

Thursday, October 09, 2008

Hurricane Disaster is over but disaster fraud just beginning.


This year’s Atlantic hurricane season is almost over, but in the wake of Gustav and Ike, the season for disaster fraud is just beginning.

Hurricanes and other natural disasters—like this summer’s California wildfires—bring out the best in people, who volunteer to help with cleanup efforts and make charitable contributions to victims. But disaster also brings out the worst in people—and not just crooks and scam artists. Sometimes, when it appears there’s easy money to be made and no one is watching, otherwise law-abiding citizens can get caught up in crime.

How else to explain the case of the fire chief who’s now serving 14 years in jail? The Louisiana resident, who had no previous criminal record, volunteered to organize medical relief efforts in Baton Rouge shortly after Hurricane Katrina devastated the Gulf Coast in 2005. He then proceeded to steal and sell nearly $500,000 worth of government-owned defibrillators. When the theft was discovered and an investigation was begun, the fire chief tried unsuccessfully to hire a hit man to kill a witness that could link him to the crime.

And how else to explain the actions of a certain Texas man, who even before Hurricane Ike made landfall last month, was seen beating his pickup truck with an empty propane tank? He told a friend he planned to report the battered truck as having been storm-damaged so he could collect an insurance settlement.

Frauds large and small related to disasters are the business of the National Center for Disaster Fraud, formerly known as the Hurricane Katrina Fraud Task Force. This special task force was established by the Department of Justice to investigate, prosecute, and deter fraud in the wake of Katrina, when billions of dollars in federal disaster relief poured into the Gulf Coast region. Now, its mission has expanded to include fraud from any domestic natural or manmade disaster.

More than 20 federal agencies, including the FBI, are co-located at the Baton Rouge command center, and together with local and state law enforcement partners and U.S. Attorneys, the task force has posted impressive results.

To date, the task force has brought federal charges against more than 900 people from all over the country. The command center has screened more than 26,000 complaints—everything from charity fraud and public corruption to contract fraud and identity theft—and referred more than 17,000 of them to law enforcement for investigation. Already, the task force has received 1,300 calls relating to potential fraud from Gustav and Ike.

Of course, the best way to stop fraud is to keep from being a victim in the first place, and that means being aware of how fraudulent schemes work

And for those who see an opportunity for easy money after a disaster by breaking the law? If you think no one is looking, think again. You can fool me once but not twice.

Tuesday, September 30, 2008

Nothing on this Bail out deal will protect you.


First, one must read the article written by Elliot Spitzer JUST before he was taken down by the powers that be. This article details how the Bush administration opened the doors for the mortgage industry to get into this crisis, knowing all along they could pilfer the taxpayers in the end to soak up any losses.Eliot Spitzer Feb 2008 article

Second, we must realize that this whole affair is simply a corporate restructuring. What corporation? The corporation that OWNS the Federal Reserve (it is NOT a US government agency or division). The Federal Reserve is owned by the wealthiest banks in the world, who also in turn own the largest insurance companies in the world, and so much more. Like in 1929, they are set to, and will execute, the US economy if they don't get their way. Haven't you heard the threats already? Think it's not true? What caused the great depression? A run on banks and the stock markets? But what caused that? What happened was the largest banks in the world called in all loans they could on Oct 29, 1929. As all callable loans had to be paid immediately, everyone and their brother had to sell stock, bonds and get their money from the banks to pay these loans, that were all being called in unreasonably on this day. And what did the Fed do? Nothing. It is/was the same people. These are the same people who brought us federal income tax, in the same act that formed the third incarnation of the Fed!Why would the Fed do this? Because for the third time in US history, a president (this time Herbert Hoover) was threatening to end the Federal Reserve. Andrew Jackson once said, when asked what was his greatest accomplishment in his two terms as President, "I killed the Bank." (referring to the second incarnation of the Federal Reserve). Under the US Constitution, only the treasury is allowed to print our money, and although they still print our coins, the Fed is who really controls the US currency, and remember, they are a PRIVATE corporation, whom you will be told no specifics about."Banking was conceived in iniquity and was born in sin. The bankers own the earth. Take it away from them, but leave them the power to create money, and with the flick of the pen they will create enough deposits to buy it back again. However, take it away from them, and all the great fortunes like mine will disappear and they ought to disappear, for this would be a happier and better world to live in. But, if you wish to remain the slaves of bankers and pay the cost of your own slavery, let them continue to create money.”Sir Josiah Stamp - Director of the Bank of England (appointed 1928)Reputed to be the 2nd wealthiest man in England at that time. So once you have looked at these facts, especially the article by and the efforts of Mr. Spitzer, you can see what this is really all about.Hope this helps some to understand.

The Biggest Robbery of the History of our Country.


This bailout's mission is to protect the obscene amount of wealth that has been accumulated in the last eight years. It's to protect the top shareholders who own and control corporate America. It's to make sure their yachts and mansions and "way of life" go uninterrupted while the rest of America suffers and struggles to pay the bills. Let the rich suffer for once. Let them pay for the bailout. We are spending 400 million dollars a day on the war in Iraq. Let them end the war immediately and save us all another half-trillion dollars.
It has everything to do with it. This so-called "collapse" was triggered by the massive defaulting and foreclosures going on with people's home mortgages. Do you know why so many Americans are losing their homes? To hear the Republicans describe it, it's because too many working class idiots were given mortgages that they really couldn't afford. Here's the truth: The number one cause of people declaring bankruptcy is because of medical bills, Medical Bills; unemployment, increase in gas, food, increase on taxes to paid outrageous Government salaries.


And yet, they are screeching about how the end is near! Panic! Recession! The Great Depression! Y2K! Bird flu! Invasion of Undocumented Immigrants! Killer bees! Salmonella, We must pass the bailout bill today!! The sky is falling! The sky is falling!!!!!!!.

Falling for whom? NOTHING in this "bailout" package will lower the price of the gas, the price of food, the Interest rate, you have to put in your car to get to work. NOTHING in this bill will protect you from losing your home. NOTHING in this bill will give you health insurance.

Friday, September 26, 2008

Undocumented Immigrants Stealing Social Security Benefits?


That's sounds familiar to you. Well check this out. Buchanan County Auditor Susan Montee’s failure to audit the county administrator under investigation for embezzling $4 million in Social Security payments raises serious questions about whether Montee intentionally ignored the situation because of her political and personal relationship with the administrator.

The Associated Press reports that state investigators are questioning Bonnie
Sue Lawson in connection with the missing Social Security checks dating back to at least 2005 when complaints were first made to the state Department of Health and Senior Services. Montee, who has the authority to conduct an audit of the state administrator’s office, has received hundreds of dollars in political contributions from friend Lawson
.

“The political and personal relationship between Susan Montee and Bonnie Sue Lawson raises serious questions about how millions of dollars in essential payments to elderly Buchanan County residents disappeared right under Montee’s nose,” said Paul Sloca, communications director for the Missouri Republican Party. “Susan Montee must come clean about her relationship with Bonnie Sue Lawson and the role it played in her failure as county auditor. This situation also raises serious issues about Montee’s competency and integrity as a candidate for state auditor.”

State investigators and St. Joseph police have seized computer equipment and other documents from Lawson’s office in a case that potentially affects hundreds of clients. Montee’s failure to monitor the activities of the county administrator is serious since administrators often serve as guardians, conservators, personal representatives and representative payees for certain citizens including minors, the mentally incompetent and the disabled.

“Susan Montee failed to keep an eye on an individual who is entrusted with the responsibility of taking care of the finances for some of our state’s most vulnerable citizens,” Sloca said. “One has to wonder whether her personal and political relationship was more important to her than the citizens of Buchanan County.
Know John F. Wood, United States Attorney for the Western District of Missouri, announced that a former Buchanan County, Mo., official pleaded guilty in federal court today to embezzling $118,000 from Social Security payments intended for dependent or disabled clients served by her office.
Bonnie Sue Lawson, 68, of St. Joseph, Mo., waived her right to a grand jury and pleaded guilty before U.S. District Judge Gary A. Fenner this afternoon to a federal information that charges her with stealing public money.
“This former elected official abused the public’s trust and stole public money that was intended to assist the vulnerable clients who were dependent upon her,” Wood said.
Lawson served as Buchanan County Public Administrator from her election in 1996 until her resignation in August 2006. As Public Administrator, Lawson was appointed as the guardian for mentally impaired or developmentally disabled adults in instances where these adults had no one else who was willing to act on their behalf. Some of the clients under Lawson’s care received Social Security Administration benefits on a monthly basis. Lawson, who was appointed by the Social Security Administration as the representative payee for clients who were identified as either physically or mentally unable to handle their own financial affairs, established separate bank accounts where the Social Security funds were deposited. Lawson maintained control over the accounts.
By pleading guilty
today, Lawson admitted that, from Sept. 1, 2003, to Aug. 21, 2006, she embezzled funds from these accounts for her own use.
Lawson accomplished her embezzlement by generating checks payable to herself under the guise that the proceeds were to pay her fees. The checks or embezzled monies were above and beyond any legitimate payments due to Lawson as representative payee. Lawson then altered the accounting records, maintained electronically, in her Public Administrator’s office in order to conceal her embezzlement. Lawson also concealed her embezzlement by submitting false and fraudulent reports to the Social Security Administration.
Approximately 120 separate client accounts were identified by investigators as having been embezzled by Lawson. Investigators also calculated an aggregate loss figure of approximately $118,000 from Lawson’s embezzlement activities. This sum represents Social Security payments intended for the use and care of dependant or disabled clients.
Under federal statutes, Lawson is subject to a sentence of up to 10 years in federal prison without parole, plus a fine up to $250,000 and an order of restitution. A sentencing hearing will be scheduled after the completion of a presentence investigation by the United States Probation Office.
For a video; Click Here:

Wednesday, September 24, 2008

Housing Crisis dragging thousands of Jobs.


Who is responsible and accountable for this mess? Thousands of people losing their jobs do to the Housing crisis and the saggy economy affecting all of us as Taxpayers. Just 2 years ago, real-estate agents and mortgage brokers were rolling in cash and living la Vida Loca. Now they've become job seekers and Homeless left high and dry in the housing bust.

In 2006, multiple buyers still lined up to bid on homes, 100% financing was practically a given, and prices kept rising, seemingly without limits.

Fast-forward to the present, when the subprime-mortgage fiasco has led to the demise of many big mortgage lenders and small banks. Thousands of jobs have been lost. Many real-estate agents who thrived during the boom years are now finding it difficult to make ends meet and are leaving the business or looking for additional work to supplement their incomes.

Many who lived the high life are now sucking wind.

"No one ever saw it coming," Nick Vasilakis says.

Vasilakis was forced out of the mortgage business barely four months after he had entered it. A casualty of a 7,000-employee layoff by American Home Mortgage in August 2007, he had been hired as a software quality engineer the previous April. At the time, the company was the 10th-largest mortgage retailer in the U.S. and appeared to be on a roll.

Vasilakis says that employees were "kept in the dark" about problems at American Home and that the company kept hiring even as a complete wipeout approached.

Days before the formal announcement of the end, Vasilakis and his Long Island co-workers were advised to start updating their résumés. Vasilakis recalls that one colleague hastily scheduled a colonoscopy before his medical benefits were terminated.

Vasilakis had just bought a house in the area and was preparing for his wedding the following month. It took him four months to find a new job, as a business analyst with Ipreo, a consulting business for investment banks in Manhattan.

More than a year later, the 177,000-square-foot Melville, N.Y., headquarters of American Home remains empty and for sale. The loss of more than 1,600 local employees continues to affect neighborhood businesses (at one point American Home was Long Island's sixth-largest employer).
Where these people are going to ending up? being Homeless? American Home Mortgages lays off more than 7,000 employees. When markets boom, jobs get created. When the housing market busts, they tend to go away.

Continue reading here:

Friday, September 19, 2008

Fraudulent U.S. Passport and the dysfunctionality of the system.



Diplomatic Security Investigation Results in 112,Suspects Charged with Federal Passport Fraud

The Investigation Resulted in the Seizure of $650,000 and the Recovery of 80 Fraudulently Issued United States Passports.

The individuals charged included fugitives, military deserters, delinquent taxpayers, parolees, convicted felons, sex-offenders, habitual drunk drivers from over 20 countries. All wanted U.S. passports for the purpose of hiding from law enforcement authorities. Many of the individuals charged resided and worked in their deceased identities for decades, and in many cases their neighbors, employers, spouses and children never knew them by their true names.

Between July 2005 and August 2008, 112 individuals were charged with federal passport fraud and related offenses around the country. The government also seized three firearms, $650,000 in cash, one Mercedes automobile, and over 80 of the fraudulently obtained United States passports.

During their investigation, Diplomatic Security and FBI agents cross-matched computerized government death records with Department of State passport records. This process identified individuals who fraudulently applied for, and obtained, United States passports using birth certificates of deceased Americans. Continue reading here: FBI

Tuesday, September 02, 2008

Undocumented Immigrants draining the Social Services? A lie or a lie.


I had seen more often the tip of the Iceberg when Hospitals, Corporations, Vendors and Suppliers has been the most abusives of the Medicare and Medicaid System were money is flying out the pocket of taxpayers as well as Legal and Undocumented Immigrants.

DME DEFENDANTS SENTENCED IN MULTI-MILLION DOLLAR MEDICARE FRAUD SCHEME

R. Alexander Acosta, United States Attorney for the Southern District of Florida, Jonathan I. Solomon, Special Agent in Charge, Federal Bureau of Investigation, Miami Field Office, Christopher B. Dennis, Special Agent in Charge, U.S. Department of Health and Human Services, Office of Inspector General, Miami Regional Office, and Bill McCollum, Attorney General, State of Florida, announced that defendants Mabel and Abner Diaz , of Miami Lakes, FL were each sentenced today to fourteen years’ incarceration for conspiracy to commit health care fraud and health care fraud. Defendant Suleidy Cano , of Hialeah, FL was sentenced to eleven years’ incarceration for conspiracy to commit health care fraud and aggravated identity theft.

According to the parties' joint factual statement in support of the plea, the fraud involved durable medical equipment (DME), which is equipment that can be used in the home on a repeated basis for a medical purpose. Where DME is prescribed or ordered by a physician, an authorized Medicare provider who supplies the equipment to a Medicare beneficiary may be eligible for reimbursement by Medicare.

Abner Diaz and Mabel Diaz co-owned and operated All-Med Billing Corp., a Miami medical billing company, where Cano worked as a biller. All-Med submitted claims to Medicare on behalf of suppliers who purportedly provided DME to Medicare beneficiaries. All-Med submitted $419,935,692.74 in fraudulent claims for DME purportedly provided to Medicare beneficiaries by 85 DME suppliers. These claims were for equipment that not been ordered by physicians or delivered to the beneficiaries as claimed. As a result of these claims, Medicare paid the suppliers approximately $148,586,919.99.

Mr. Acosta commended the investigative efforts of the Federal Bureau of Investigation, the U.S. Department of Health and Human Services, Office of Inspector General, and the Office of the Attorney General, Medicaid Fraud Control Unit. This case is being prosecuted by Assistant United States Attorneys Marc Osborne and Joseph Shumofsky

Undocumented Immigrants responsible for Identity theft? Pack of Lies.


Arrests Made in Major Bank Fraud and Identity Theft Scheme

Richard K. Ruminski, Special Agent-in-Charge of the Milwaukee Office of the Federal Bureau of Investigation (FBI), announced today the arrests of MICHAEL B. VORCE, age 31 and JAMES C. JETT, age 29. The two suspects were arrested without incident by FBI special agents from the Milwaukee and Chicago Divisions on 8/27/08.

In a criminal complaint, the two suspects are charged with knowingly executing a scheme to defraud a financial institution, in violation of 18 United States Code Section 1344; and knowingly conspiring to defraud a financial institution in violation of 18 United States Code Section 371.

This multi-state bank fraud and identity theft scheme involves at least $2.6 million, and at least four financial institutions. The investigation is continuing as the individuals appear to be part of a larger fraud scheme. The bank fraud and identity theft committed involved the use of stolen personal information from victims and the use of the personal information to obtain high-dollar loans from financial institutions, purportedly to purchase boats. In some instances, the vessels themselves were fictitious.

Because of law enforcement’s focus on mortgage fraud, criminals may now be targeting alternative high-end items such as large boats to facilitate their fraud schemes.

The public is reminded that a criminal complaint is merely a method by which to charge individuals with criminal conduct. The defendants are presumed innocent until proven guilty

Thursday, August 28, 2008

Undocumented Immigrants draining Medicare and Medicaid?. A myth or a Lie?


At this point I have not seen an accurate report from a balance and fair group of the amount used by Undocumented Immigrants but I see more often the tip of Iceberg from Companies, Hospital, Vendors and suppliers committed fraud against Medicare and Medicaid affecting taxpayers Citizens, Legal and Undocumented Immigrants.

WellCare to pay $35.2M as part of Medicaid inquiry.

WellCare Health Plans Inc. said it will pay $35.2-million as part of an agreement with U.S. prosecutors in a Medicaid fraud investigation, the company said in a regulatory filing Monday.

The payment doesn't settle the case or limit the U.S. government and state of Florida from making further claims in their continuing investigation, WellCare said.

WellCare, whose top executives quit in January, said the agreement includes an estimated $24.5-million owed the government for Medicaid "behavioral health" claims from 2002 to 2006 by two of its Florida HMO subsidiaries: WellCare of Florida Inc. and HealthEase of Florida Inc. The additional $10.7-million will be held in escrow during the government probe.

"We do not know whether other areas of the investigations might lead to fines, penalties, operating restrictions or disqualifications or other material adverse impaction on the company or the company's previously issued financial statements,'' WellCare said in the filing with the Securities and Exchange Commission.

WellCare manages benefits for more than 1.23-million members of state Medicaid programs for the poor and an additional 200,000 elderly and disabled customers who are part of the government's Medicare program.

In October, agents from the Federal Bureau of Investigation and other federal and state agencies raided the Tampa headquarters of WellCare

Friday, August 01, 2008


Undocumented Workers do no paid taxes.!!!!!! That Sounds familiar to you. A myth or a lie?
Tax evasion is in progress BUT not from Undocumented workers from Citizens!!!!!!.





A U.S. Citizen preventing the IRS from assessing and attempting to collect more than $34 million of unpaid payroll tax liabilities from Trebert, Ewing and May, and creating the appearance that these sham staffing/payroll entities employed more than 4500 nursing facility employees, when they did not. Where Nativists, Minuteman groups, Lou Dobbs, Tommy Tancredo stand on this issue? Hypocrisy is not a Family Value?


FORMER NURSING HOME EXECUTIVE SENTENCED TO 10 YEARS IN FEDERAL PRISON AND ORDERED TO PAY $11 MILLION RESTITUTION

Tarrant County Resident Convicted of Various Offenses Related to Operation of Nursing Homes


FORT WORTH, Texas — Stephen Michael Ewing, 60, of Bedford, Texas, who was convicted of various offenses related to his operation of nursing homes in Texas and elsewhere, was sentenced today by U.S. District Judge Terry R. Means to 120 months in prison, announced U.S. Attorney Richard B. Roper of the Northern District of Texas. In addition, Judge Means ordered that Ewing pay approximately $11 million in restitution. Ewing was ordered to surrender to the Bureau of Prisons on August 25, 2008.

A jury convicted Stephen Michael Ewing in March on one count of conspiracy, seven counts of tax evasion, five counts of mail fraud, seven counts of making false statements to government agencies and seven counts of making false statements regarding health care.

From August 1999 to mid-May 2004, Ewing, along with co-defendants, Gary Trebert and Larry May, conspired together, and with others, to defraud the U.S. by impeding, impairing, obstructing, and defeating the lawful government functions of the Internal Revenue Service (IRS) in the ascertainment, computation, assessment, and collection of the revenue, that is, nursing facility employees’ withheld income taxes, social security taxes and Medicare taxes, and the Department of Health and Human Services (HHS) in the administration of the Social Security Act and the Medicare and Medicaid programs.

Gary Trebert, 51, of Frisco, Texas, a licensed attorney, pled guilty in February 2008 to conspiracy to defraud the government by obstructing and impeding lawful government functions of the IRS and HHS and tax evasion and aiding and abetting. Trebert admitted that in April 2004, he attempted to evade and defeat the assessment and payment of more than $4,113,000 in withholding taxes taken out of employees’ pay at 42 nursing homes he and his coconspirators controlled. While Trebert faces a maximum statutory sentence of 10 years in prison, the government, as part of its his plea agreement, will make a non-binding recommendation that the Court sentence Trebert to an eight-year prison sentence. Trebert also may be ordered to pay restitution which will be based on all his criminal conduct relating to the offenses charged in the indictment, including, but not limited to, unpaid taxes and unlawfully obtained healthcare payments. He is scheduled to be sentenced on August 11, 2008.

Co-defendant Larry Gordon May, 49, of Hurst, Texas, pled guilty to his role in the conspiracy in October 2007. He was sentenced in April to 48 months in prison and is currently serving that sentence.

Ewing and his coconspirators, using the names of sham corporate entities, obtained control of 70 licensed nursing facilities with thousands of patient beds and thousands of employees. In order to acquire control of these facilities, Trebert, Ewing and May used false statements and false and fraudulent documents, including Applications for Nursing Facility License and Medicaid Contracts, Medicare Federal Provider Enrollment applications, ownership documents, IRS Employer Identification Number applications, Health Insurance Benefit Agreements, and Electronic Fund Transfer forms. Their falsifications included falsely identifying relatives as owners, operators, and managers of the nursing homes on the applications; failing to disclose staffing/payroll companies on nursing home applications; failing to disclose Ewing and May as the true owner/operators of nursing homes; and forging names of individuals on filed documents to divert responsibility away from the three defendants. They used the false statements and documents to hide from HHS, state licensing and Medicaid agencies, and the IRS, the true control and management of the nursing facilities, their responsibility for more than $200 million in money derived from the nursing homes, and their responsibility for the nursing facilities’ residents.

Both Trebert and May testified against Ewing at trial. Trebert testified that he and Ewing repeatedly discussed the creation and the overseas payroll companies to interfere with IRS efforts to collect the payroll taxes. Trebert also testified that Ewing once boasted about having previously operated nursing homes without having to pay the payroll taxes. Larry May testified that Trebert and Ewing made him president of the company, even though he told them he was not qualified.

May further testified that, during some of the periods covered by the Indictment, he was making $10,000 to $25,000 per month for doing little more than signing documents, including tax returns, and taking tax returns to England to mail back to the IRS in the U.S. More than 150 sham staffing/payroll entities, many with foreign business addresses at drop boxes in England and Austria, were created to file Form 941 employer withholding tax returns with the IRS, preventing the IRS from assessing and attempting to collect more than $34 million of unpaid payroll tax liabilities from Trebert, Ewing and May, and creating the appearance that these sham staffing/payroll entities employed more than 4500 nursing facility employees, when they did not.

The defendants diverted to themselves and their personal activities substantial sums of money derived from their nursing home operations and from the non-payment of employees’ withheld payroll taxes. At trial, the government presented evidence that, during the period covered by the Indictment, Ewing spent more than $2.5 million in money derived from the nursing home operations on his personal expenses. The total expenditures included more than $200,000 at department stores such as Saks Fifth Avenue, and more than $250,000 on automobiles