Tag:

Medicaid fraud

NJ Mental Health Clinics Founded By Late Liberian Defendant Agree To Forfeit $6.4M, More NJ Mental Health Clinics Founded By Late Liberian Defendant Agree To Forfeit $6.4M, More
NJ Mental Health Clinics Founded By Late Liberian Defendant Agree To Forfeit $6.4M, More UPDATE: New Jersey authorities have legally seized $6.4 million and other assets from a chain of mental health clinics founded by a recently deceased Liberian presidential candidate for billing Medicaid for more than 10,000 bogus claims. Daniel E. Cassell, formerly of Perkasie, PA was under a 17-count state indictment when he died of an apparent heart attack at 56 years old on Christmas Day 2022. The West African-born Cassell -- who was a psychologist, business consultant and politician and founding member of Liberia's People Liberation Party -- was the president and chief executive officer…
'Reckless' Owner Of Princeton Nursing Home That Abruptly Closed Barred From Receiving Medicaid 'Reckless' Owner Of Princeton Nursing Home That Abruptly Closed Barred From Receiving Medicaid
'Reckless' Owner Of Princeton Nursing Home That Abruptly Closed Barred From Receiving Medicaid New Jersey has cut off Medicaid funding for a nursing home that abruptly closed its doors to 72 patients last fall. Princeton Care Center closed suddenly on Sept. 1, 2003, and only notified residents' families that morning — leaving them with just hours to relocate, as first reported by Planet Princeton. Gail and Ezra Bogner, the owner and administrator of Princeton Care Center, respectively, will be suspended from New Jersey Medicaid, effective March 28, the Office of the State Comptroller said. “The Bogners’ recklessness, neglect, and incredibly poor judgment caused serious harm and…
GUILTY: Woman Defrauded Medicaid By Billing For NJ Ex's Care While Really At Work In Michigan GUILTY: Woman Defrauded Medicaid By Billing For NJ Ex's Care While Really At Work In Michigan
Guilty: Woman Defrauded Medicaid By Billing For NJ Ex's Care While Really At Work In Michigan A substitute teacher from Michigan was convicted of billing Medicaid for giving care to her stroke-stricken Morris County ex-boyfriend while she was actually back home at work. Michael Ann Ellis, 62, of Flint, MI, was found guilty by jurors in Morristown who heard testimony from, among others, a schools superintendent from her district during a four-day trial, New Jersey Attorney General Matthew J. Platkin said. Evidence also included timesheets and payroll records with school locations, dates, and hours for more than four years that Ellis collected $45,000 from the New Jersey Medicaid Prog…
DRUG FRAUD: Crimebusters Smash Statewide NJ Ring That Stole, Forged Prescriptions For Codeine DRUG FRAUD: Crimebusters Smash Statewide NJ Ring That Stole, Forged Prescriptions For Codeine
Drug Fraud: Crimebusters Smash Statewide NJ Ring That Stole, Forged Prescriptions For Codeine An elaborate drug fraud ring operating in more than half the counties in New Jersey stole doctors’ prescription pads as part of a scheme to stock up on opioid-boosted cough syrup, authorities charged. Medical offices in various parts of the state – including Wayne, Morristown and Bridgewater – were broken into by Divinete Jeffries, 30, of East Orange, Attorney General Matthew Platkin said. Jefferies snatched prescription pads that were then forged and given to accomplices who submitted them to various pharmacies using stolen IDs and bogus driver’s licenses, according to an indictment return…
Linden Woman Stole $350K In Years-Long Medicaid Fraud Scheme: Prosecutor Linden Woman Stole $350K In Years-Long Medicaid Fraud Scheme: Prosecutor
Linden Woman Stole $350K In Years-Long Medicaid Fraud Scheme: Prosecutor A 39-year-old Linden woman was arrested on accusations she stole nearly $350,000 through bogus Medicaid claims, authorities said. Leslie K. Lassen filed numerous falsified documents with Medicaid in which she under-reported her household income between January 2015 and December 2019, Union County Prosecutor William A. Daniel announced. In June 2020, the Prosecutor’s Office received a trip from the New Jersey Medicaid Fraud Division pertaining to the theft of Medicaid funds by Lassen, said Assistant Prosecutor Melissa Spagnoli, who is handling the case.  Based upon those bogus sub…
Former Rockland Owner Of Failed Nursing Homes In NJ, 11 Other States Charged In $39M Tax Dodge Former Rockland Owner Of Failed Nursing Homes In NJ, 11 Other States Charged In $39M Tax Dodge
Former Rockland Owner Of Failed Nursing Homes In NJ, 11 Other States Charged In $39M Tax Dodge An insurance broker from Rockland County who ran a failed nationwide network of nearly 100 nursing homes from an office over a Bergen County pizzeria ducked nearly $39 million in payroll taxes, a federal indictment unsealed on Monday alleges. Joseph Schwartz, 62, was arrested at his Suffern home last Thursday. A federal judge in Newark released him to home confinement hours later, with conditions, pending trial. Then came the unsealing announcement on Monday, also out of Newark. Schwartz’s Skyline Healthcare LLC amassed 95 nursing homes in 11 states nationwide in less than two years – incl…
LI Moving Company Owner, North Jersey Employee Admit $540,000 Low-Ball Extortion Scheme LI Moving Company Owner, North Jersey Employee Admit $540,000 Low-Ball Extortion Scheme
LI Moving Company Owner, North Jersey Employee Admit $540,000 Low-Ball Extortion Scheme A Nassau County moving company owner and a Passaic County woman who worked for him admitted in federal court that they extorted customers out of nearly $550,000 with the old “low-ball” scam. Lior Atiyas, 42, of Hewlett, Long Island began regularly low-balling estimates to move household goods, then jacking up the price by two to three times once the items were on the trucks, in early 2016, U.S. Attorney Craig Carpenito said Friday. He then refused to deliver the goods until the customers paid up, Carpenito said. Atiyas recruited Lola Larios, 37, of Haledon into the scheme when she joined t…
‘Hit & Run’ Dentist With Offices In Passaic, Hudson, Union Gets License Pulled, $517,000 Fine ‘Hit & Run’ Dentist With Offices In Passaic, Hudson, Union Gets License Pulled, $517,000 Fine
‘Hit & Run’ Dentist With Offices In Passaic, Hudson, Union Gets License Pulled, $517,000 Fine An oral surgeon who needlessly pulled teeth and exorbitant payments from patients in Passaic, Hudson, Union and Monmouth counties had his license yanked and was fined more than $500,000, state authorities announced Tuesday. Andrew Maron, 58, had been prohibited from practicing in New Jersey since the state filed negligence, gross negligence and professional misconduct charges against him in 2015. Still, he continued to practice in New York, authorities said. New Jersey authorities said they pursued Maron after receiving complaints from no fewer than 17 patients, including a 93-year-old Medi…
Teaneck Social Worker Charged With Collecting On Bogus Claims For Kids' Mental Health Services Teaneck Social Worker Charged With Collecting On Bogus Claims For Kids' Mental Health Services
Teaneck Social Worker Charged With Collecting On Bogus Claims For Kids' Mental Health Services A clinical social worker from Teaneck falsely billed the Medicaid program for mental health services she claimed she provided to at-risk children and adolescents, a state grand jury has charged. Gloria Andrade, 56, of Teaneck, was employed full-time as a social services specialist with the Township of Teaneck when she submitted the bogus claims while working a side job as a solo practitioner providing in-home counseling and therapy to children, adolescents, and their families in the NJ Department of Children and Families’ Intensive In-Community Services program (IICS), authorities said). “L…
Clifton Medical Supplier Who Billed Medicaid For Dead Patients Gets 4 Years Clifton Medical Supplier Who Billed Medicaid For Dead Patients Gets 4 Years
Clifton Medical Supplier Who Billed Medicaid For Dead Patients Gets 4 Years CLIFTON, N.J. — A medical equipment supply store owner from Clifton was sentenced Thursday to four years in state prison for billing Medicaid more than $100,000 for medical supplies for dead people. Alfredo Valdes, Jr., 43, admitted in August that he submitted the bogus claims to Horizon NJ Health, a provider of Medicaid services in the state, through his T-N-T medical supplies company in the Hudson County city of West New York from January 2008 to March 2016. The durable medical equipment – including compression stockings, diapers and other items – were reimbursed in the name of patients w…