According to Steven M. Dettelbach, United States Attorney for the Northern District of Ohio, a man who lives in Orange, Ohio admitted to overbilling Medicaid and Medicare by more than $2.5 million.
Thirty-nine year old, Divyesh "David" C. Patel, pleaded guilty to one count of conspiracy to having been involved to health care fraud and four counts of health care fraud. Patel is anticipated to be sentenced later on this year.
Dettelbach said, "This defendant enriched himself and his company by flouting rules designed to protect the public."
"Mr. Patel defrauded the tax payers by scamming Medicaid and Medicare," said Stephen D. Anthony, Special Agent in Charge of the FBI's Cleveland Field Office.
"Waste, fraud, and abuse take critical resources out of our health care system and contribute to the rising cost of health care for all Americans."
According to court documents, Patel was the owner and president of Alpine Nursing Care Inc., located at 4753 Northfield Road, Suite 5, North Randall, Ohio, and employed Belita Mable Bush as the office manager and director of provider services from June 1, 2006 through October 18, 2009.
An additional info according to court documents is Patel and Alpine employed Bush to prepare and submit the billings to Medicaid and Medicare for reimbursement for services provided by Alpine as a home health care provider, even though Patel knew that Bush had been previously convicted of a health care-related felony that excluded Bush from being involved in any way with Alpine's Medicaid and Medicare billings.
In addition to the fact that Bush was excluded from handling Alpine's medical billings, Patel was aware that Bush falsified documents related to health care services allegedly provided to home health patients where the services were never provided or were provided by home health aide that had previous criminal convictions that excluded them from providing health services in people's houses, a