Clifton Medical Supply Shopkeeper Confesses to $100,000 Medicaid Scams Plan

Clifton, N.J.– A Clifton male who owns a West New York medical devices supply store has pleaded guilty to fraudulently billing the Medicaid program more than $100,000 for medical products never ever supplied to clients, Attorney General Christopher S. Porrino and the Office of the Insurance Fraud Prosecutor (OIFP) revealed.

Alfredo Valdes, Jr., who owns T-N-T medical materials, pleaded guilty to second-degree charges of healthcare claims scams and theft by deceptiveness in a hearing before Superior Court Judge Mitzy Galis-Menendez in Hudson County.

Under the regards to the plea arrangement, the State will suggest that 42-year-old Valdes be sentenced to 4 years in state jail. Valdes will also pay $101,000 in restitution to Horizon New Jersey Health, and sign an authorization order consenting to life time disbarment from involvement as a supplier in the New Jersey Medicaid program.

” Stealing from a program that offers monetary support to those who cannot manage medical insurance or health care services is not just a criminal activity, it’s a disgrace,” Porrino stated.

” This guilty plea guarantees that the accused will be held liable for his actions and will never ever once again remain able to divert resources from those who really need it.”. We will tell you how to report medicaid fraud.

” Every dollar lost to Medicaid scams is one less dollar readily available to assist a few of the most susceptible residents of our state,” Acting Insurance Fraud Prosecutor Christopher Iu included.

” Our Medicaid Fraud Control Unit will continue to strongly examine and penalize those making use of the Medicaid system for their personal enrichment.”.

In pleading guilty, Valdes confessed that in between January 2008 and March 2016 he fraudulently sent claims amounting to more than $100,000 to Horizon NJ Health, a service provider of Medicaid services in the state.

The claims incorrectly mentioned that Valdes had dispersed resilient medical devices– consisting of compression stockings, diapers, and other products – to clients who had passed away prior to the dates of the supposed circulations.

Valdes is arranged to be sentenced in January 2018.

Browse Warrant Names Owner in Laredo Adult Day Care at The Center of Medicaid Scams Examination

Medicaid scams at a local adult daycare supposedly accompanied understanding of among the owners, according to a search warrant just recently acquired by Laredo Morning Times.

On Aug. 23, the Texas Attorney General’s Office and Webb County Precinct 1 Constable’s Office robbed the Las Flores Adult Day Care, 2502 E. Travis St., about a Medicaid scams examination.

State cop’s officers and constable deputies browsed the facilities for Medicaid-related patient/client files, Medicaid billing files, records and proof of Medicaid scams, according to authorities.

The search warrant declares 2 staff members recognized as Natalia Hernandez and Raul Garcia performed deceitful activities with an understanding of an owner. The file recognized him as Jose Gonzalez.
Lawyer Carlos E. Flores, who represents the daycare, decreased to discuss the claims versus his customer, mentioning the continuous examination.

He stated in a declaration that Las Flores Adult Day Care has a record of impressive care that offers a caring, considerate and safe environment for its customers.

” The company continues to run and we anticipate solving this matter so that we can continue to concentrate on supplying individuals of our neighborhood quality services and care they have concerned anticipate,” the declaration checks out.

No charges have been generated the case.

The search warrant declares Hernandez was sending deceptive timesheets to her companies. These time sheets were then used to costs Medicaid, the search warrant states. Garcia supervised transport logs, according to the file.

A motorist of the daycare sent the day-to-day transport logs to the center manager, Garcia, for approval.

” … Garcia would then change the transport log to reveal customers were transferred to the daycare by including a time on the log, which showed customers were transferred by the company van,” the warrant states.

According to the warrant, 10 to 15 customers who are not transferred to the daycare daily are normally counted as being transferred to the daycare by Garcia.

The search warrant explains one example with a male patient. He did not go to the daycare for 3 weeks due to a disease but the transport log showed he did participate in, according to court records.

” … Las Flores Adult Day Care has been billing (the patient’s) Medicaid represent services that were not rendered,” the search warrant states.

It, even more, declares that “Jose Gonzalez, owner of Las Flores Adult Day Care, understands Natalia Hernandez and Raul Garcia’s misbehavior.”.

Authorities stated Las Flores’ income doubled compared with other areas comparable in size.

” Las Flores Adult Day Care has two times or more the yearly income from Medicaid billing and payment when compared with centers and provider of their type, practice, size, a variety of clients, the capability of clients and staff member count,” the search warrant states.

Pediatrician Gets A 3-Year Jail Sentence for Medicaid Scams

Newark– A Newark pediatrician was sentenced to 3 years in jail for billing Medicaid for 24-hour work days on several events when her workplace was just open for 8 hours, authorities stated Monday.

Dr. Ibilola Ighama-Amegor, 55, was also purchased to pay $216,000 in restitution when sentenced Friday by Judge Michael Petrolle in state Superior Court in Newark, New Jersey Attorney General Christopher Porrino stated in a declaration.

” Dr. Amegor used her medical degree as a license to take from a program that spends for treatment for the senior and those who cannot pay for medical insurance,” Porrino stated. “She does not belong in the medical occupation; she belongs in jail, which is best where she’s going.”.

In June, an Essex County jury discovered Ighama-Amegor guilty of 48 counts of healthcare claims scams and a single count of Medicaid scams, all 3rd-degree charges. She was discovered not guilty of theft by deceptiveness a 2nd-degree criminal activity.

Deputy Attorneys General Crystal Callahan and Dennis Kwasnik of the state’s Office of the Insurance Fraud Prosecutor informed jurors that Ighama-Amegor sent expenses for 24 hours of work or more for the exact same day on 48 dates in between April 30, 2008, and May 16, 2011.

An examination discovered that her practice, called Quality Pediatrix, was just open 8 hours a day, 3 days a week.

A spokesperson for Porrino, Lisa Coryell, stated Ighama was nabbed Friday after her movement to stay totally free pending appeal was turned down. Coryell stated the state remained in the procedure of rescinding Ighama-Amegor’s medical license.

” Doctors who submit incorrect insurance claims weaken the stability of a system that depends upon the reliability of certified specialists,” Acting Insurance Fraud Prosecutor Christopher Iu mentioned. “Dr. Amegor’s sentence sends out an effective message that physician who dedicates insurance scams will be held responsible for their greed.”.