Florida Health Care Authorities Charged In $1B Medicare/Medicaid Scams Case

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A Florida state health care authorities presumably accepted kickback in exchange for assisting a retirement home owner implicated of managing a $1 billion Medicare and Medicaid scams plan to keep his license, federal district attorneys stated.

Bertha Blanco, 66, deals with federal criminal charges in a comprehensive examination that federal authorities are calling the country’s most significant health scams case, The Miami Herald reported. She was charged previously this month.

Blanco made about $31,300 a year managing assessments at nursing centers owned by 48-year-old Philip Esformes, a rich business owner who owns lots of Miami-Dade nursing centers along with houses in Miami, Los Angeles, and Chicago, district attorneys stated.

A criminal problem submitted versus Blanco implicated her of taking 10s of countless dollars in money in exchange for tipping Esformes off about infractions so he might resolve them before state assessments.

Blanco’s help enabled Esformes to keep his license active and continue billing the federal government for doubtful patient services, the grievance declared.

Blanco, a 29-year veteran of the Florida Agency for Health Care Administration, is the very first of its workers ever to be charged with taking allurements, the paper reported.

Blanco’s lawyer Robyn Blake informed the paper she is evaluating the case and choosing whether to go to trial or deal a plea offer. Blanco runs out custody on a $250,000 bond.

Federal authorities say Blanco took the kickbacks and supplied patient and evaluation records to intermediaries, who provided the info to Esformes.

Esformes is being kept in federal detention and is arranged to go to trial in March. His lawyers have argued that the intermediaries to whom Blanco provided the info acted without his understanding.

2 of those intermediaries, bros Gabriel and Guillermo Delgado, have made plea offers and are anticipated to affirm versus Esformes. The siblings assisted detectives to get to Esformes by videotaping a money deal that district attorneys stated was implied to choose allurements.

Esformes is implicated of using his 20 nursing centers to submit incorrect Medicare and Medicaid declares for services that were not needed for 14,000 clients.

District attorneys compete for his health care network and other co-conspirators billed $1 billion for deceitful services in between 2009 and 2016.

Alexandria Business Owner Pleads Guilty to Medicaid Fraud

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Alexandria, VA– The owner of an Alexandria business pleaded guilty to Medicaid scams and tax evasion Friday.

Lamar Taylor, 39, of Bowie, Md. owned Global Interventions, which offers behavioral health services to kids. According to court files, he had agreements with the Alexandria and Hopewell, Va. school districts and billed them for numerous at-risk youth sessions that did not occur.

In between April 2014 and September 2016, he fraudulently got $595,000 in Medicaid funds. In addition, he averted paying personal earnings taxes and Global’s work taxes from 2012 to 2015, amounting to about $398,000.

His sentencing is Oct. 26, and he might confront 15 years in jail.

The company’s website states that it deals with different behavioral elements that might add to school performance and social interactions. The company presently notes George Washington Middle School T.C. Williams High School, Francis C. Hammond Middle School and Jefferson Houston School as the schools it deals with.

According to a company bio, Taylor matured as an at-risk kid and wished to help others like himself. He began the company after operating in the psychological health field for a couple of years and playing basketball and serving in different training positions.

Midlothian Caretaker Prosecuted on 32 Felony Counts, Consisting Of 16 Counts of Medicaid Scams

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A Midlothian caretaker who authorities stated made deceitful declarations to get federal government medical help then acquired funds under incorrect pretenses over 4 years has been prosecuted in Chesterfield County on 32 felony counts, consisting of 16 counts of Medicaid scams.

Virginia M. Miskin-Harden, 48, of the 13400 block of Little Horn Ridge, was detained July 26 after a Chesterfield grand jury released 32 indictments July 17. The scams happened from April 1, 2011, through Oct. 2, 2014, according to charging files.

The Medicaid Fraud Unit of the Virginia Attorney General’s Office led the examination with support from Chesterfield cops. The Chesterfield Commonwealth’s lawyer’s workplace will be prosecuting.

Chesterfield cops referred concerns about the case to the chief law officer’s workplace, which has decreased to supply any info about the substance of the charges or the quantity of money or services supposedly defrauded. A spokesperson just offered copies of the indictments.

” Since our group is not prosecuting this case, there are no other details we can provide today,” stated spokesperson Lara Sisselman.

Harden’s lawyer, Russell Bowles, stated he’s submitted a movement for the discovery of proof but up until now understands little about the case.

” I got selected to represent her recently, but I have not had a possibility to speak with her and do not know anything aside from exactly what she’s charged with,” Bowles stated Wednesday.

Bowles represented Miskin-Harden on an unassociated felony grand larceny charge that came from December 2016, but that charge became withdrawn on March 23.

According to court documents to figure out Miskin-Harden’s eligibility for a court-appointed lawyer, she informed court authorities she works as a caretaker and makes about $50 a week.

A status hearing on her charges is set for Sept. 7 in Chesterfield Circuit Court. She has been launched on bond from the Chesterfield prison.