OIG Posts 'Most Wanted' List of Medicare Fraudsters

John Commins, for HealthLeaders Media , February 4, 2011
Suspects on the list include:

"The Benitez Brothers," who, working through their Miami-area HIV infusion clinics, are accused of submitting fraudulent claims to Medicare totaling about $110 million. OIG alleges that the services for which Carlos, Luis, and Jose Benitez billed were medically unnecessary or never administered.

Leonard Nwafor, and co-conspirators, who are accused of billing Medicare for $1.1 million and collecting $525,000 in fraudulent claims for durable medical equipment, including motorized wheelchairs, scooters, and hospital beds. This investigation was led by the Medicare Fraud Strike Force, including OIG investigators, which was created to identify and prosecute fraudulent DME companies and laboratories in the Greater Los Angeles area.

Susan Bendigo who is accused of billing Medi-Cal, California's Medicaid program, for $17.1 million, $10 million of which she actually collected. Working as director of nursing for a company providing nurses for home health agencies, Bendigo is said to have sent unlicensed nurses to treat Medi-Cal patients, though she knew Medi-Cal required licensed nurses to perform this work.

The full list may be viewed here.

John Commins is a senior editor with HealthLeaders Media.

Comments are moderated. Please be patient.

1 comments on "OIG Posts 'Most Wanted' List of Medicare Fraudsters"

16789229 (2/15/2011 at 9:34 AM)
Great idea. Interestingly, not one of these "most wanted" providers is on the OIG exclusion list. Makes you wonder! Morgan Templar, CPMSM Manager, Regional Credentialing Services Valley Health




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