ILNews

Five indicted on Medicaid fraud charges

Back to TopCommentsE-mailPrintBookmark and Share

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.

 

ADVERTISEMENT

Post a comment to this story

COMMENTS POLICY
We reserve the right to remove any post that we feel is obscene, profane, vulgar, racist, sexually explicit, abusive, or hateful.
 
You are legally responsible for what you post and your anonymity is not guaranteed.
 
Posts that insult, defame, threaten, harass or abuse other readers or people mentioned in Indiana Lawyer editorial content are also subject to removal. Please respect the privacy of individuals and refrain from posting personal information.
 
No solicitations, spamming or advertisements are allowed. Readers may post links to other informational websites that are relevant to the topic at hand, but please do not link to objectionable material.
 
We may remove messages that are unrelated to the topic, encourage illegal activity, use all capital letters or are unreadable.
 

Messages that are flagged by readers as objectionable will be reviewed and may or may not be removed. Please do not flag a post simply because you disagree with it.

Sponsored by
ADVERTISEMENT
Subscribe to Indiana Lawyer
  1. What a fine article, thank you! I can testify firsthand and by detailed legal reports (at end of this note) as to the dire consequences of rejecting this truth from the fine article above: "The inclusion and expansion of this right [to jury] in Indiana’s Constitution is a clear reflection of our state’s intention to emphasize the importance of every Hoosier’s right to make their case in front of a jury of their peers." Over $20? Every Hoosier? Well then how about when your very vocation is on the line? How about instead of a jury of peers, one faces a bevy of political appointees, mini-czars, who care less about due process of the law than the real czars did? Instead of trial by jury, trial by ideological ordeal run by Orwellian agents? Well that is built into more than a few administrative law committees of the Ind S.Ct., and it is now being weaponized, as is revealed in articles posted at this ezine, to root out post moderns heresies like refusal to stand and pledge allegiance to all things politically correct. My career was burned at the stake for not so saluting, but I think I was just one of the early logs. Due, at least in part, to the removal of the jury from bar admission and bar discipline cases, many more fires will soon be lit. Perhaps one awaits you, dear heretic? Oh, at that Ind. article 12 plank about a remedy at law for every damage done ... ah, well, the founders evidently meant only for those damages done not by the government itself, rabid statists that they were. (Yes, that was sarcasm.) My written reports available here: Denied petition for cert (this time around): http://tinyurl.com/zdmawmw Denied petition for cert (from the 2009 denial and five year banishment): http://tinyurl.com/zcypybh Related, not written by me: Amicus brief: http://tinyurl.com/hvh7qgp

  2. Justice has finally been served. So glad that Dr. Ley can finally sleep peacefully at night knowing the truth has finally come to the surface.

  3. While this right is guaranteed by our Constitution, it has in recent years been hampered by insurance companies, i.e.; the practice of the plaintiff's own insurance company intervening in an action and filing a lien against any proceeds paid to their insured. In essence, causing an additional financial hurdle for a plaintiff to overcome at trial in terms of overall award. In a very real sense an injured party in exercise of their right to trial by jury may be the only party in a cause that would end up with zero compensation.

  4. Why in the world would someone need a person to correct a transcript when a realtime court reporter could provide them with a transcript (rough draft) immediately?

  5. This article proved very enlightening. Right ahead of sitting the LSAT for the first time, I felt a sense of relief that a score of 141 was admitted to an Indiana Law School and did well under unique circumstances. While my GPA is currently 3.91 I fear standardized testing and hope that I too will get a good enough grade for acceptance here at home. Thanks so much for this informative post.

ADVERTISEMENT