Two guys in Flushing allegedly paid seniors cash and supermarket gift cards to join adult day care centers, then billed Medicare and Medicaid $120 million over a decade for services that were either unnecessary or never happened.
The Highlights
A spreadsheet that tracked bribes under the column header "coupons." A single day where one center billed Medicaid for 1,041 patients in a building certified for 81. Claims submitted for patients who were literally in the hospital at the time.
One defendant was arrested boarding an international flight with $40K in cash. The other allegedly outed a cooperating witness to scare people into silence. Law enforcement seized $100K in cash and froze $900K in bank accounts. Both men are out on bond.
If your fraud operation requires a spreadsheet with a column called "coupons," maybe just don't.