St. Paul Male Dealing with Charges For $1.4 Million In Deceitful Medicaid Claims

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MINNEAPOLIS (KMSP) – The supervisor of a Minneapolis personal care home service company was charged for a Medicaid scams plan that gathered more than $1.4 million in illicit funds over the last couple of years, according to a criminal grievance launched Tuesday.

Abdul Abdishakur of St. Paul is dealing with 6 counts of theft by incorrect representation for deceitful claims made to the Minnesota Department of Human Services– which supervises the state’s Medicaid program– through his company, Wallingburg Home Care Services.

Through Wallinburg Abdishakur presumably over-billed Medicaid for at least 5 of his customers, sending claims for services that did not happen, frequently administered by workers that did not have appropriate paperwork, or did not exist at all. He also supposedly offered regular kickbacks to both his customers and a few of the companies.

According to detectives, 87 percent of his claims for a two-year duration in between January 2013 and August 2015– amounting to more than $1.2 million– did not have any documents, with 73 percent of his staff members’ timesheets missing out on details.

Medicaid also needs that 72.5 percent of funds distributed for personal care needs to be paid to service providers, though authorities stated Abdishakur kept more than 66 percent of that money for himself. Detectives crunched the numbers and discovered he was apparently paying his staff members approximately $4.71 an hour, well listed below the $10.53 base pay needed.

In overall, Wallingburg supposedly bilked DHS for $1,421,788.07, while Abdishakur deals with 20 years in jail and $100,000 in fines for what private investigators say was his part in the plan.

Oklahoma Mom and Child Charged with Medicaid Scams

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A mom and child have been charged with Medicaid scams and identity theft after authorities say they sent incorrect claims.

Lexie Batchelor, 59, of Atoka, and Heather Doss, 43, of Tulsa, are implicated of sending incorrect claims to the Oklahoma Health Care Authority from 2010 through 2016, according to a press release.

Batchelor and Doss apparently sent claims for services in Oklahoma while airline company records revealed both were both from the state.

They are implicated of using customer Medicaid recognition numbers to send incorrect claims. Almost 200 customer identities were fraudulently used to send claims.

Private investigators also stated Batchelor used an “modify ego,” called Lexie George, to double expense for services. When submitting the claims, Batchelor stated she and George, who was noted as a clinician, would individually deal with clients.

She is also implicated of altering service codes on billings to show greater expense services. She altered the codes from rehab services to psychotherapy sessions, which compensate at a greater rate, according to the press release.

Batchelor is charged with 3 counts of Medicaid scams and one count of identity theft. Doss is charged with one count of Medicaid scams and one count of identity theft.

In 2016, following a Medicaid scams suit, a federal judge bought LXE Counseling and Bachelor to pay more than $4.6 million in damages for comparable practices.

Attorney general of the United States Mike Hunter stated the Medicaid Fraud Control Unit will continue punishing professionals who contravene of the law.

” Healthcare scams cost state taxpayer’s countless dollars annually and is an affront to the clients who turn over a doctor with their care,” Hunter stated. “Thanks to the work of lawyers and private investigators in the Medicaid Fraud Control Unit, these 2 will not have the ability to trick anymore Oklahomans.”.

Omaha Female Bought to Pay More Than $400K for Medicaid Scams

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An Omaha female has been bought to pay back the state more than $400,000 for Medicaid declares she might not record.

The Nebraska Attorney General’s workplace reports Chandra Wrightsell, owner of Evol Consulting, sent more than 1,300 claims amounting to $146,000 to the Nebraska Medicaid program without appropriate documents that she had performed the services.

A Lancaster County District Court judge has purchased Wrightsell to offer 3 times the quantity in restitution, in accordance with the Nebraska False Medicaid Claims Act which needs repayment to be tripled, bringing the overall to $439,777.

Wrightsell pleaded to one count of health care scams previously this year. She has been sentenced to a year-and-a-half in federal jail and bought to pay $105,000 in criminal restitution emerging from the exact same scams plan.