Nabila Mahbub, Medicare Fraud, Michigan 2012

Nabila Mahbub, 27, Convicted in $5.8 Million Medicare Fraud Scheme

Nabila Mahbub, the office manager of All American Home Care Inc., has been found guilty of participating in a $5.8 million Medicare fraud scheme. The conviction comes after a federal jury in Detroit returned a guilty verdict.

The charge against Mahbub is one count of conspiracy to commit health care fraud, a crime that carries a maximum penalty of 10 years in prison. Sentencing is scheduled for July 25, 2013.

The scheme, which took place between September 2008 and November 2009, involved the submission of false and fraudulent claims to Medicare through All American, a home health care company located in Oak Park, Mich. The company purported to provide skilled nursing and physical therapy services to Medicare beneficiaries in the greater Detroit area.

According to evidence presented at trial, Mahbub and her co-conspirators used patient recruiters, who paid Medicare beneficiaries to sign blank documents for physical therapy services that were never provided and/or medically unnecessary. The owners of All American paid physicians to sign referrals and other therapy documents necessary to bill Medicare. Physical therapists and physical therapist assistants then created fake medical records using blank, pre-signed forms obtained by the patient recruiters to make it appear as if physical therapy services were actually rendered, when, in fact, they were not.

As a result of the scheme, All American was paid over $5.8 million from Medicare. This case is being prosecuted by Deputy Chief Gejaa T. Gobena and Trial Attorney Matthew C. Thuesen of the Criminal Division’s Fraud Section. The investigation was led by the FBI and HHS-OIG, and was brought by the Medicare Fraud Strike Force, a joint effort of the U.S. Attorney’s Office for the Eastern District of Michigan and the Criminal Division’s Fraud Section.

The Medicare Fraud Strike Force, operating in nine cities across the country, has charged more than 1,480 defendants who have collectively billed the Medicare program for more than $4.8 billion since its inception in March 2007.

To report Medicare fraud or to learn more about the Health Care Fraud Prevention and Enforcement Action Team (HEAT), visit www.stopmedicarefraud.gov.

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