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Crime Pays: $29 Million Medicare Scheme Exposed
A Detroit-area operator of an adult day care center and two home health care company owners have been convicted in a $29 million Medicare fraud scheme. Felicar Williams, 51, of Dearborn, Michigan, operated Haven Adult Day Care Center LLC (Haven), which billed Medicare for sophisticated mental health services that were not provided.
At Williams’s direction, Haven staff members who were not licensed to provide mental health services billed Medicare for the services. Williams was found guilty of conspiracy to commit health care fraud and conspiracy to pay and receive health care kickbacks in relation to the sale of Medicare billing information to Abdul Malik Al-Jumail.
Abdul Malik Al-Jumail, 54, and his daughter, Jamella Al-Jumail, 25, both of Brownstown, Michigan, owned and operated a series of fraudulent home health care companies, including ABC Home Care Inc., Associates in Home Care Inc., Accessible Home Care Inc., Swift Home Care LLC, and Be Well Home Care LLC. The companies billed Medicare for home health services that were not needed or not provided.
The evidence presented at trial showed that Abdul Malik Al-Jumail paid kickbacks to Williams to obtain billing information about patients at Haven. He then used the information to bill Medicare for home health care services that were never provided. Jamella Al-Jumail was also found guilty of destroying documents in connection with a federal investigation.
According to the court documents, Haven and the various home health care companies billed Medicare for more than $29 million in the course of the conspiracy. The defendants were charged in a superseding indictment on May 1, 2014. Sentencing has not yet been scheduled.
The case is being investigated by HHS-OIG, FBI, and IRS-CI and was brought as part of the Medicare Fraud Strike Force, under the supervision of the Criminal Division’s Fraud Section and the U.S. Attorney’s Office for the Eastern District of Michigan. The case is being prosecuted by Trial Attorneys Patrick Hurford, Chris Cestaro, and Brooke Harper of the Criminal Division’s Fraud Section.
Carey Vigor, 61, a psychiatrist from Algonac, Michigan, was also charged in the indictment and was acquitted by the jury. Two other individuals charged in the indictment, Mohammed Sadiq and Philandis Thomas, are scheduled for trial in October 2014. One individual remains a fugitive.
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Key Facts
- State: Michigan
- Category: Fraud & Financial Crimes
- Source: DOJ Press Release ↗
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