A network of Michigan healthcare providers billed Medicare for services they never provided in a scheme that netted $29 million before it was discovered and broken up.
Felicar Williams, operator of a Detroit-area day care service center for mentally ill adults, provided information about his patients to Abdul Malik Al-Jumail and his daughter, Jamella, in exchange for kickbacks, according to the Justice Department.
The father-daughter pair then submitted Medicare claims for those patients through a series of fake healthcare companies that never actually performed the home health services for which they were reimbursed.
Staff at al-Jamal’s fraudulent healthcare companies fabricated medical records to make the treatments seem real.
Jamella al-Jumal was found guilty of burning the records as the investigation by the Department of Health and Human Services inspector general closed in.
All three individuals face jail time after being convicted in connection with the scheme.
Since 2007, the HHS IG has worked with the Department of Justice, the FBI and other law enforcement units as part of the Medicare Fraud Task Force.
The task force has since 2009 returned an estimated $14.9 billion to taxpayers as a result of its activities.
Go here to read the full Justice Department statement on the Michigan Medicare fraud case.