Six Houston area residents have been charged for their involvement in healthcare fraud schemes, which resulted in false claims being submitted to Medicare, according to a U.S. Department of Justice news release.
Bassey Monday Idiong, owner of B.I. Medical Supply, Linda Eteimo Ere Kendabie, an administrative assistant at B.I. Medical, and Modupe Babanumi, a patient recruiter for B.I. Medical, all Houston residents, were each charged with participating in a scheme to submit claims to Medicare for medically unnecessary durable medical equipment. As part of the scheme, the DME was allegedly not given to the purported patients. This equipment included so-called "arthritis kits," which consist of sets of orthotic braces that are purportedly used for the treatment of arthritis-related conditions. The indictment alleges that the defendants caused more than $840,000 in false and fraudulent claims for the kits to Medicare. The indictment alleges that in one instance, B.I. Medical billed a kit to Medicare that included two knee braces for a Medicare beneficiary who had only one leg.
Ana Quinteros and Michelle Turner, both of Houston, were each charged in a superseding indictment with one count of conspiring to defraud Medicare for their participation in a scheme to submit false and fraudulent claims, also for arthritis kits. Four individuals charged in the original indictment of July 2009 — Clifford Ubani, Princewill Njoku, Mary Ellis and Rolondae Mitchell-Straughter — were also charged with various healthcare frauds in the superseding indictment. The scheme resulted in approximately $1.1 million in billings to the Medicare program.
Charles Roberts of Houston was arrested on a complaint in connection with his role as a recruiter for KO Medical, a DME company owned and operated by Kate and Oliver Nkuku. Charges against Kate and Oliver Nkuku were announced previously. The complaint charges Mr. Roberts with conspiracy to commit healthcare fraud and alleges that he provided Medicare beneficiary information to KO Medical so false and fraudulent claims for power wheelchairs and other DME could be submitted to Medicare. The complaint also alleges that KO Medical billed Medicare for power wheelchairs under special codes indicating that a new piece of DME was being provided as a replacement for a similar piece of DME that was lost, damaged or destroyed during a natural disaster, such as a hurricane. Use of this modifier when a bill is submitted to Medicare allows DME to be billed without a physician's prescription, because it is merely intended to replace a destroyed item that Medicare presumes was initially obtained with a proper prescription. The complaint alleges that in fact none of the beneficiaries involved actually had a power wheelchair that was lost or damaged. The complaint alleges that Oliver Nkuku paid Mr. Roberts a kickback of $400 each time Medicare paid for a power wheelchair for a beneficiary referred by Mr. Roberts.
The indictments were brought forth by the Houston-based Medicare Fraud Strike Force.
Read the DOJ release about the six Houston residents charged for Medicare fraud.
Bassey Monday Idiong, owner of B.I. Medical Supply, Linda Eteimo Ere Kendabie, an administrative assistant at B.I. Medical, and Modupe Babanumi, a patient recruiter for B.I. Medical, all Houston residents, were each charged with participating in a scheme to submit claims to Medicare for medically unnecessary durable medical equipment. As part of the scheme, the DME was allegedly not given to the purported patients. This equipment included so-called "arthritis kits," which consist of sets of orthotic braces that are purportedly used for the treatment of arthritis-related conditions. The indictment alleges that the defendants caused more than $840,000 in false and fraudulent claims for the kits to Medicare. The indictment alleges that in one instance, B.I. Medical billed a kit to Medicare that included two knee braces for a Medicare beneficiary who had only one leg.
Ana Quinteros and Michelle Turner, both of Houston, were each charged in a superseding indictment with one count of conspiring to defraud Medicare for their participation in a scheme to submit false and fraudulent claims, also for arthritis kits. Four individuals charged in the original indictment of July 2009 — Clifford Ubani, Princewill Njoku, Mary Ellis and Rolondae Mitchell-Straughter — were also charged with various healthcare frauds in the superseding indictment. The scheme resulted in approximately $1.1 million in billings to the Medicare program.
Charles Roberts of Houston was arrested on a complaint in connection with his role as a recruiter for KO Medical, a DME company owned and operated by Kate and Oliver Nkuku. Charges against Kate and Oliver Nkuku were announced previously. The complaint charges Mr. Roberts with conspiracy to commit healthcare fraud and alleges that he provided Medicare beneficiary information to KO Medical so false and fraudulent claims for power wheelchairs and other DME could be submitted to Medicare. The complaint also alleges that KO Medical billed Medicare for power wheelchairs under special codes indicating that a new piece of DME was being provided as a replacement for a similar piece of DME that was lost, damaged or destroyed during a natural disaster, such as a hurricane. Use of this modifier when a bill is submitted to Medicare allows DME to be billed without a physician's prescription, because it is merely intended to replace a destroyed item that Medicare presumes was initially obtained with a proper prescription. The complaint alleges that in fact none of the beneficiaries involved actually had a power wheelchair that was lost or damaged. The complaint alleges that Oliver Nkuku paid Mr. Roberts a kickback of $400 each time Medicare paid for a power wheelchair for a beneficiary referred by Mr. Roberts.
The indictments were brought forth by the Houston-based Medicare Fraud Strike Force.
Read the DOJ release about the six Houston residents charged for Medicare fraud.