Oct 22nd 2009, 04:06 PM
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 Organized crime's new target:
Organized crime's new target: Medicare and Medicaid – amFIX - CNN.com Blogs Quote:
Organized crime gangs are exploiting a new target for illegal profit: Medicare and Medicaid.
Experienced in running drug, prostitution and gambling rings, crime groups of various ethnicities and nationalities are learning it's safer and potentially more profitable to file fraudulent claims with the federal Medicare program and state-run Medicaid plans.
"They're hitting us and hitting us hard," said Timothy Menke, head of investigations for the Office of Inspector General at the Department of Health and Human Services. "Organized crime involvement in health care fraud is widespread."
Los Angeles is among the hot spots for health care fraud, where Russian, Armenian and Nigerian gangs have been caught by federal agents.
Crime boss Konstantin Grigoryan, a former Soviet army colonel, pleaded guilty to taking $20-million from Medicare; Karapet "Doc" Khacheryan, boss of a Eurasian crime gang, was recently convicted with five lieutenants of stealing doctor identities in a $2-million scam, and last Thursday two Nigerian members of an organized crime ring, Christopher Iruke and his wife, Connie Ikpoh, were charged with bilking Medicare of $6-million dollars by fraudulently billing the government for electric wheelchairs and other expensive medical equipment.
The two have entered pleas of not guilty and are being held in a federal detention center. "They deny any allegations of wrongdoing," said their attorney James Kosnett.
Defrauding government-run health care programs involves stealing two types of identities: those of doctors, who bill for services, and patients, whose beneficiary numbers entitle them to medical care and necessary equipment. Criminals are expert at collecting both.
"That information is very, very valuable to these crooks. And the doctor may work at one clinic but he won't know about the 2nd and 3rd clinic that they've already set up using his identification," said Glenn Ferry, special agent in charge of the Los Angeles Region for the Health and Human Services Office of Inspector General. "They are definitely well-organized, well-schooled on how to commit Medicare fraud."
Dr. Gianfranco Burdi had his identity stolen when he was recruited to join what appeared to be a new medical practice near Koreatown in Los Angeles. After the managers failed to show a business license and proof of malpractice insurance, Dr. Burdi pulled out. Two years later the FBI came calling. Agents questioned Dr. Burdi – a psychiatrist – whether he had prescribed electric wheelchairs for Medicare patients – $800-thousand dollars worth.
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Last edited by younghova; Oct 22nd 2009 at 04:07 PM.
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