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Five indicted on Medicaid fraud charges

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Federal prosecutors this week indicted five people and three affiliated companies on charges of defrauding Medicaid of millions of dollars, according to the office of U.S. Attorney for the Northern District of Indiana David Capp.
 
Roy Dunn and Kahley Vergon-Mayotte of Winimac and Anthony Bitterling of Monticello, owners and/or employees of Hoosier EMS ambulance service of Buffalo, Ind., were charged in one of two indictments handed down this week in Hammond.

A grand jury claims that the defendants submitted false claims for ambulance services for dialysis patients totaling at least $2 million between May 2009 and March 2012. Hoosier EMS either falsified claims submitted to Medicaid or submitted claims for patients who were capable of transporting themselves, according to the indictment.

The four-count indictment seeks criminal sentences as well as a money judgment, forfeiture of more than 40 vehicles owned by the company, and forfeiture of property in northern Indiana that is owned by the principals and valued at more than $400,000.

Charged with health care fraud in a separate indictment were Austin Nwaka, dba Service Above Self, of Camby, and Phyllis Lark, dba Absolute Care, of Hammond.  Lark was also charged with making false statements to a federal agent.
 
The five-count indictment returned by a grand jury alleges that Lark bilked Medicaid of more than $1.9 million for claims of providing targeted case management to 900 Medicaid recipients when she was not authorized to bill for those services, which include locating, managing, coordinating and monitoring proposed services for eligible recipients. Lark is accused in some cases of billing more than 24 hours per day.

Nwaka is accused of using his valid Indiana Medicaid provider ID number to bill for more than $1.3 million in services he was not authorized to provide, according to the indictment. The pair also “used Medicaid recipients’ unique Indiana Medicaid recipient numbers without (their) knowledge or permission … to submit fraudulent claims.” The indictment seeks criminal sentences and asset forfeiture.

Charges were filed as the result of an investigation by the Federal Bureau of Investigation and the Indiana Medicaid Fraud Control Unit.  The cases are being prosecuted by Assistant United States Attorney Diane Berkowitz.

 

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  1. Just an aside, but regardless of the outcome, I 'm proud of Judge William Hughes. He was the original magistrate on the Home place issue. He ruled for Home Place, and was primaried by Brainard for it. Their tool Poindexter failed to unseat Hughes, who won support for his honesty and courage throughout the county, and he was reelected Judge of Hamilton County's Superior Court. You can still stand for something and survive. Thanks, Judge Hughes!

  2. CCHP's real accomplishment is the 2015 law signed by Gov Pence that basically outlaws any annexation that is forced where a 65% majority of landowners in the affected area disagree. Regardless of whether HP wins or loses, the citizens of Indiana will not have another fiasco like this. The law Gov Pence signed is a direct result of this malgovernance.

  3. I gave tempparry guardship to a friend of my granddaughter in 2012. I went to prison. I had custody. My daughter went to prison to. We are out. My daughter gave me custody but can get her back. She was not order to give me custody . but now we want granddaughter back from friend. She's 14 now. What rights do we have

  4. This sure is not what most who value good governance consider the Rule of Law to entail: "In a letter dated March 2, which Brizzi forwarded to IBJ, the commission dismissed the grievance “on grounds that there is not reasonable cause to believe that you are guilty of misconduct.”" Yet two month later reasonable cause does exist? (Or is the commission forging ahead, the need for reasonable belief be damned? -- A seeming violation of the Rules of Profession Ethics on the part of the commission) Could the rule of law theory cause one to believe that an explanation is in order? Could it be that Hoosier attorneys live under Imperial Law (which is also a t-word that rhymes with infamy) in which the Platonic guardians can do no wrong and never owe the plebeian class any explanation for their powerful actions. (Might makes it right?) Could this be a case of politics directing the commission, as celebrated IU Mauer Professor (the late) Patrick Baude warned was happening 20 years ago in his controversial (whisteblowing) ethics lecture on a quite similar topic: http://www.repository.law.indiana.edu/cgi/viewcontent.cgi?article=1498&context=ilj

  5. I have a case presently pending cert review before the SCOTUS that reveals just how Indiana regulates the bar. I have been denied licensure for life for holding the wrong views and questioning the grand inquisitors as to their duties as to state and federal constitutional due process. True story: https://www.scribd.com/doc/299040839/2016Petitionforcert-to-SCOTUS Shorter, Amici brief serving to frame issue as misuse of govt licensure: https://www.scribd.com/doc/312841269/Thomas-More-Society-Amicus-Brown-v-Ind-Bd-of-Law-Examiners

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