OIG Posts 'Most Wanted' List of Medicare Fraudsters
"The Benitez Brothers," who, working through their Miami-area HIV infusion clinics, are accused of submitting fraudulent claims to Medicare totaling about $110 million. OIG alleges that the services for which Carlos, Luis, and Jose Benitez billed were medically unnecessary or never administered.
Leonard Nwafor, and co-conspirators, who are accused of billing Medicare for $1.1 million and collecting $525,000 in fraudulent claims for durable medical equipment, including motorized wheelchairs, scooters, and hospital beds. This investigation was led by the Medicare Fraud Strike Force, including OIG investigators, which was created to identify and prosecute fraudulent DME companies and laboratories in the Greater Los Angeles area.
Susan Bendigo who is accused of billing Medi-Cal, California's Medicaid program, for $17.1 million, $10 million of which she actually collected. Working as director of nursing for a company providing nurses for home health agencies, Bendigo is said to have sent unlicensed nurses to treat Medi-Cal patients, though she knew Medi-Cal required licensed nurses to perform this work.
John Commins is a senior editor with HealthLeaders Media.
- 1 in 5 Eligible Hospitals Penalized for HACs
- 'Mega Boards' Could be Rural Healthcare Disruptor
- Two-Midnight Rule Will Cost Hospitals Big
- The Hospital of the Future is Not a Hospital
- PA hospital to pay $662,000 to settle Medicare fraud case
- Meaningful Use Payment Adjustments Begin
- HL20: Rebecca Katz—Cooking Up Sustainable Nourishment
- Supreme Court to hear Obamacare subsidy challenge in March
- HL20: Peter Semczuk, DDS, MPH—Taking on the Big Challenges
- 12 Hires to Keep Your Hospital Out of Trouble