Wednesday, March 4, 2015

Carmel Woman Receives Three Years of Probation for Second Round of Medicaid Fraud

The Indianapolis Star reports:
Carmel woman who unlawfully received more than $700,000 in Medicaid payments has been ordered to pay back the money and spend three years on probation. 
Khadijah Shareef, 54, was sentenced on federal charges of Medicaid fraud, U.S. Attorney Josh J. Minkler announced Tuesday. 
A news release from Minkler’s office states that Shareef submitted enrollment applications to Indiana Medicaid for two businesses while barred from all federal health care programs.  
Josh Minkler, Acting U.S. Attorney, Southern District of Indiana 
“When an ineligible provider engages in fraud to wrongly bill Medicaid for millions of dollars, it is a violation of the public trust and demonstrates contempt for the taxpayers,” Indiana Attorney General Greg Zoeller said in a statement. 
Court documents state that in October 2002, Shareef, under the name of Khadijah Mohammed, pleaded guilty to conspiracy to commit medicare fraud in the northern district of Georgia. Following her sentencing, Shareef was excluded from participation in the Medicare, Medicaid, and all health care programs for a minimum of seven years.
Shareef never appealed her exclusion and never requested reinstatement making her unable to participate in federal health care programs, including Medicaid.
In September 2008, Shareef submitted enrollment applications to Indiana Medicaid for both Indiana Home Health Inc. and Indiana Personal Care, court documents state. Both applications were completed by Shareef and falsely listed her sister as the owner and operator of both businesses. 
The federal court entry, which doesn't mention the restitution requirement, also says that in addition to the 3 years of probation, Shareef will have to serve 3 months of intermittent confinement on weekends, 3 months of home detention and she will be required to obtain regular salaried employment which cannot be self-employment.  She is also to pay a "Special Assessment" of $100.


Hernan Dough said...

Medicaid fraud is projected to be in the $500M+ range per year in Indiana. But there's no legislative "appetite" to effectively deal with it. Wonder why?

Anonymous said...

Paul, my comments are made as the wife of a dental practitioner who owned a private practice on Indy's far east side until 2000. He sold the practice as he was cognizant of the changing demographics with the slow, but sure reduction of his steady, reliable patient-base of middle-class factory employees with good benefits, including dental insurance. His patient-base slowly morphed into more and more Medicaid patients who'd schedule appointments and then be no-shows or who'd arrive in the parking lot in a Medicaid paid taxi and then mosey across the parking lot to the shopping center and later arrive in his reception area asking for a signature vouching they'd used the taxi for a dental visit. Most medical practitioners consider a practice based upon Medicaid patients to be the kiss of death, unless they're interested in engaging in fraud.