Home Home 19 Charged in $4M Philadelphia Medicare and Medicaid fraud

19 Charged in $4M Philadelphia Medicare and Medicaid fraud

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Update: These fraudsters are from Africa according to Dr. Oz who just announced it on Cats & Cosby radio show today.

Federal prosecutors have charged 19 people in Pennsylvania with engaging in Medicare and Medicaid fraud schemes totaling more than $4 million, according to Fox News.

The defendants, including home health care company owners, employees, and Medicaid recipients, are accused of billing for care while they were in jail, in the hospital, working other jobs, or even overseas. One recipient claimed he needed constant help while working as a carpenter.

We don’t have a list of the defendants.

FBI Report

In connection with the announcement, the Fraud Division, U.S. Attorney’s Office, and Pennsylvania Attorney General today announced criminal charges against 19 defendants, including owners and employees of home care companies, for their alleged participation in various fraud schemes involving over four million dollars in claims to Medicare and Medicaid. The Pennsylvania Attorney General also announced a plea agreement involving the final defendant in a previously charged 21-defendant case involving over $1.7 million in claims.

One purported aide claimed to be providing services while she was incarcerated; another purportedly provided services while hospitalized. These four defendants caused over $440,000 in claims to Medicaid. In another of today’s cases Coccia, two defendants, father and son, were charged after the son, a purported aide, claimed to be providing services while driving for a ride-share and food delivery service.

On one occasion, the defendants claimed services while the son was in the midst of a traffic stop in which he was cited for possession of marijuana; on another, the defendants claimed services while the father was in court participating in a sentencing hearing for another individual. Medicaid paid over $200,000 for care purportedly provided to the father.

In a third case being announced today, Pizzo, a purported aide and a Medicaid recipient, was charged after the recipient claimed to be so debilitated that he needed dozens of hours of home health assistance, resulting in over $160,000 in claims to Medicaid. In reality, the recipient had a day job as a carpenter working in the construction industry.

Watch:

At least $33 billion is stolen from the US Medicaid program.

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