Bad Business Decisions

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Bad business decisions can ruin a company. For instance, if your customers like the product or service you provide, don’t spend a lot of money trying to improve it. (Think of the New Coke vs. Old Coke saga back in the 1980s. If it ain’t broke, don’t fix it.) Another important decision to make is to hire the right people. If you hire the wrong people, they can destroy your entrepreneurial dreams of retiring early. A Fort Bend County, Texas registered nurse (R.N.), who owned two medical clinics, made a bad business decision to commit Medicare fraud. (He ran a lucrative fraud scheme that was part of the largest Medicare fraud takedown in history.)

Today’s fraudster is an R.N. who immigrated to the United States from Nigeria over 25 years ago. He owned and operated two clinics in the Houston, Texas area for nearly seven years. He acquired and maintained a Medicare provider number, which he used to submit home health care services claims that were not medically necessary and/or not provided.

The R.N. had several co-conspirators that helped him out. According to court documents, two physicians would falsely certify that the Medicare beneficiaries were under their care and home bound, when they were not. (He paid kickbacks to these doctors for their certification services, as well as to recruiters.)

The nurse signed medical records falsely certifying that the Medicare beneficiaries qualified for home health services and submitted the bogus claims to Medicare. The government health care company deposited payments into the bank accounts of his two companies. (Then, as you might guess, he spent the money – about $17,195,899.12 to be exact, but who is counting pennies?)

 The 48-year-old Texan pleaded guilty to committing Medicare fraud. Even though he expressed remorse for his actions and begged for mercy, the judge sentenced him to 10 years in federal prison to be followed by three years of supervised release. And get this, he must begin repaying the more than $17 million he stole in quarterly payments of $25. (Crickets chirping. Do the math and you can see that the government isn’t going to get much of that money back.)

This nurse’s Medicare fraud scam was part of the largest takedown of its type in history. More than 300 people from across the nation, including 22 in the Houston area, were charged with stealing more than $900 million from Medicare. The 301 individuals involved included 61 doctors, nurses and other professionals. It looks like all of them made some pretty bad business decisions. Their fate is now in the hands of the justice system, which as you know will most definitely punish them for their heinous crimes against the government, American taxpayers and the patients they victimized.

Today’s “Fraud of the Day” is based on an article entitled, Nurse sentenced to prison for $17.1 million in Medicare fraud,” posted on Chron.com on November 29, 2017.

Eric Ugorji, a registered nurse who relocated to the U.S. from Nigeria 25 years ago, made a lengthy statement to U.S. District Judge David Hittner expressing remorse for his actions and begging the court’s mercy.

“I was a good nurse and I made terrible, bad business mistakes,” said Ugorji, who is 48. “Your honor, I didn’t intend to defraud Medicare.”

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Larry Benson, Senior Director of Strategic Alliances, LexisNexis Risk Solutions - Government

Larry Benson is responsible for developing strategic partnerships and solutions for the government vertical. His expertise focuses on how government programs are defrauded by criminal groups, and the approaches necessary to prevent them from succeeding.

Mr. Benson has 30 years of experience in sales and business development. Before joining LexisNexis® Risk Solutions, he spent 12 years founding and managing two software technology startups. During the 1990s he spent 10 years as a Regional Director helping to grow a New England-based technology company from 300 employees to 7,000. He started his career with Martin Marietta Aerospace working on laser guided weapons and day/night vision systems.

A sought-after speaker and accomplished writer, Mr. Benson is the principal author of “Fraud of the Day,” a website dedicated to educating government officials about how criminals are defrauding government programs. He has co-authored WTF? Where’s the Fraud? How to Unmask and Stop Identity Fraud’s Drain on Our Government, and Data Personified, How Fraud is Changing the Meaning of Identity.

Benson holds a Bachelor of Science in Physics from Albright College, and earned two graduate degrees – a Master of Business Administration from Florida Institute of Technology, and a Master of Science in Engineering from Lehigh University.