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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. What is the one thing the Hoosier legal status quo hates more than a whistleblower? A lawyer whistleblower taking on the system man to man. That must never be rewarded, must always, always, always be punished, lest the whole rotten tree be felled.

  2. I want to post this to keep this tread alive and hope more of David's former clients might come forward. In my case, this coward of a man represented me from June 2014 for a couple of months before I fired him. I knew something was wrong when he blatantly lied about what he had advised me in my contentious and unfortunate divorce trial. His impact on the proceedings cast a very long shadow and continues to impact me after a lengthy 19 month divorce. I would join a class action suit.

  3. The dispute in LB Indiana regarding lake front property rights is typical of most beach communities along our Great Lakes. Simply put, communication to non owners when visiting the lakefront would be beneficial. The Great Lakes are designated navigational waters (including shorelines). The high-water mark signifies the area one is able to navigate. This means you can walk, run, skip, etc. along the shores. You can't however loiter, camp, sunbath in front of someones property. Informational signs may be helpful to owners and visitors. Our Great Lakes are a treasure that should be enjoyed by all. PS We should all be concerned that the Long Beach, Indiana community is on septic systems.

  4. Dear Fan, let me help you correct the title to your post. "ACLU is [Left] most of the time" will render it accurate. Just google it if you doubt that I am, err, "right" about this: "By the mid-1930s, Roger Nash Baldwin had carved out a well-established reputation as America’s foremost civil libertarian. He was, at the same time, one of the nation’s leading figures in left-of-center circles. Founder and long time director of the American Civil Liberties Union, Baldwin was a firm Popular Fronter who believed that forces on the left side of the political spectrum should unite to ward off the threat posed by right-wing aggressors and to advance progressive causes. Baldwin’s expansive civil liberties perspective, coupled with his determined belief in the need for sweeping socioeconomic change, sometimes resulted in contradictory and controversial pronouncements. That made him something of a lightning rod for those who painted the ACLU with a red brush." http://www.harvardsquarelibrary.org/biographies/roger-baldwin-2/ "[George Soros underwrites the ACLU' which It supports open borders, has rushed to the defense of suspected terrorists and their abettors, and appointed former New Left terrorist Bernardine Dohrn to its Advisory Board." http://www.discoverthenetworks.org/viewSubCategory.asp?id=1237 "The creation of non-profit law firms ushered in an era of progressive public interest firms modeled after already established like the National Association for the Advancement of Colored People ("NAACP") and the American Civil Liberties Union ("ACLU") to advance progressive causes from the environmental protection to consumer advocacy." https://en.wikipedia.org/wiki/Cause_lawyering

  5. Mr. Foltz: Your comment that the ACLU is "one of the most wicked and evil organizations in existence today" clearly shows you have no real understanding of what the ACLU does for Americans. The fact that the state is paying out so much in legal fees to the ACLU is clear evidence the ACLU is doing something right, defending all of us from laws that are unconstitutional. The ACLU is the single largest advocacy group for the US Constitution. Every single citizen of the United States owes some level of debt to the ACLU for defending our rights.

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