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Patients who are confined to their homes because of their medical disabilities are considered to be homebound. (Venturing out of the safety of their home environment usually requires an enormous amount of effort and a great deal of assistance in most cases.) An article posted on tells about the owner of a New Orleans medical clinic who directed her employees to falsely certify that patients were homebound and in need of home health care services.

The story states that for more than seven years, the owner and operator of the medical clinic submitted Medicare claims for patients who did not need home health care services. (To be exact, she submitted $49,989,323 in Medicare claims for home health services that were not medically necessary nor provided.)

The clinic operator teamed up with a co-conspirator who happened to manage financial and accounting services at her multiple clinics. The man paid patient recruiters for Medicare beneficiary information, which was then sold to the clinic operator. She used that information to file the fraudulent claims.

As if that were not bad enough, the two also falsified tax and employment records after they were served a federal grand jury subpoena. (They were hoping to throw the jury off track by hiding the patient recruiter kickbacks. And as you might guess, it didn’t work.)

The clinic owner and her accountant both pleaded guilty to one count each of conspiracy to commit health care and conspiracy to falsify records. The 58-year-old woman and the 48-year-old man are scheduled for sentencing. It is important to note that these two perpetrators are connected to 13 other people involved in the Medicare fraud scheme. Eight others, including two doctors employed at the medical clinic, have pleaded guilty.

Congratulations to the Medicare Strike Force for setting boundaries with the criminals involved in this case. They will no longer be able to steal benefits that are meant for homebound patients and it looks like these two fraudsters are now fraud-bound by their own illegal actions.


Source: Today’s ”Fraud of the Day” is based on an article titled, ”Medicare Clinic Employees Plead Guilty in $50 Million Medicare Fraud Scheme,” written by Heather Nolan and posted on on March 18, 2015.

Two employees of a New Orleans medical clinic pleaded guilty Wednesday (March 18) in federal court to participating in a $50 million Medicare fraud scheme, according to U.S. Attorney Kenneth Polite’s office.

Paige Okpalobi, 58, of Slidell, and Christopher White, 48, of Destrehan, pleaded guilty to one count each of conspiracy to commit health care fraud and conspiracy to falsify records in a federal investigation.

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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.