A man who lives in Orange, Ohio, and his home health care company were indicted on a six counts related to overbilling Medicaid and Medicare by more than $2.5 million and knowingly employing a worker who had previously been convicted of health care fraud, said Steven M. Dettelbach, United States Attorney for the Northern District of Ohio.
Divyesh C. Patel, a.k.a. David Patel, age 38, and his home health care company, Alpine Nursing Care Inc., located at 4753 Northfield Road, Suite 5, North Randall, Ohio, were each charged with one count of conspiracy to commit health care fraud, four counts of health care fraud, and one count of making a false statement related to a health care benefit plan.
“This defendant enriched himself and his company by flouting rules designed to protect the public,” Dettelbach said. “The indictment details forged signatures and services that were never provided or performed by aides with criminal records, among other violations.”
The indictment alleges that Patel and Alpine employed Belita Mable Bush, a.k.a. Bea Bush, as the office manager and director of provider services from June 1, 2006 through October 18, 2009.
The indictment further charges that in this position, 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.
The indictment also alleges that in addition to the fact that Bush was excluded from handling Alpine’s medical billings, Patel and Alpine were 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.
As a result of the conspiracy, Medicaid and Medicare suffered a loss of approximately $2,564,392, according to the indictment.
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