The Fraud Section of the FBI combats health care fraud through the Health Care Fraud Strike Force Program.
Since March 2007, this program, currently comprised of nine strike forces operating in 27 federal districts, has charged more than 5,400 defendants who collectively have billed federal health care programs and private insurers more than $27 billion.
Most recently, a federal jury convicted four pharmacy owners last week for conspiracy to commit health care fraud and wire fraud.
According to court documents and evidence presented at trial, Raef Hamaed, of Maricopa County, Arizona; Kindy Ghussin, of Greene County, Ohio; Ali Abdelrazzaq, of Macomb County, Michigan; and Tarek Fakhuri, of Windsor, Ontario, Canada, all licensed pharmacists, billed Medicare, Medicaid, and Blue Cross Blue Shield of Michigan for prescription medications that they did not dispense at pharmacies they owned in Michigan and Ohio.
The defendants collectively caused over $13 million of loss to Medicare, Medicaid, and Blue Cross Blue Shield of Michigan.
● Hamaed, Ghussin, Abdelrazzaq, and Fakhuri were convicted of conspiracy to commit health care and wire fraud.
● Abdelrazzaq was also convicted of two counts of health care fraud and Fakhuri was convicted of one count of health care fraud. Sentencing hearings will be set at a later date.
● Hamaed, Ghussin, Abdelrazzaq, and Fakhuri face a maximum penalty of 20 years in prison on the conspiracy count.
● Abdelrazzaq and Fakhuri face a maximum penalty of 10 years in prison on each health care fraud count.
A federal district court judge will determine any sentence after considering the U.S. Sentencing Guidelines and other statutory factors.
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Glad they were caught. And, gee, I wonder where the funds were going? ~Ed.
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Great question.
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Hopefully, they’ll be required to give the money back and be imprisoned. Everyone should make a habit of checking their insurance statements to verify the accuracy of medical services and drug prescriptions.
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the doctor i go to is a fraud, they padded the bill, went to have my ears cleaned, he said they were ok, i new they had wax in them, on the bill it said he irrigated one ear which he did not, the next time i went in i asked for a copy of that bill and they refused
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Report them.
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I’m glad they were caught, but I just thought how consistent the government is in prosecuting people for taking money from them that they overcharged from us. You can always count on them for that, but not much else.
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Good point!
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