Arlington Couple’s Conviction Is Latest in North Texas Healthcare Fraud Trend

A husband and wife who owned an Arlington medical supply business were convicted of multiple counts of healthcare fraud this week, the U.S. attorney’s office announced.

Pamela and Kehinde “Kenny” Adenuga
Pamela and Kehinde “Kenny” Adenuga

Pamela and Kehinde “Kenny” Adenuga owned and operated His Grace Medical Supply & More, a medical supply company that relied heavily on Medicaid billing. Unfortunately for the government, the company subsisted mostly on forged prescriptions from doctors and forged delivery receipts from beneficiaries.

Evidence revealed that several Medicaid beneficiaries, who HGMS billed for incontinence supplies, did not need them or they were never delivered the supplies.  HGMS falsified files with forged prescriptions from doctors and forged delivery receipts of beneficiaries.  The investigation revealed that HGMS billed in excess of $2 million solely for adult incontinence supplies.

During trial, the government called doctors and Medicaid beneficiaries to testify that the documents found at HGMS during a search were false and fraudulent.  The government also introduced evidence that HGMS billed these Medicaid beneficiaries 96 times for adult incontinence supplies – each and every billing was false and fraudulent.

Dozens of other doctor forgeries were found at HGMS.  These forgeries were accompanied by affidavits prepared by the defendants to attest to the accuracy of patient files that were the subject of a Medicaid audit.  Medicaid had identified some issues with HGMS billing in 2010, and asked HGMS to substantiate its claims with proper documentation.  This documentation was forged and false.  More than 100 of those affidavits were prepared on the same day and notarized by a parent of one of the defendants.

They were found guilty of one count of conspiracy to commit healthcare fraud and seven counts of healthcare fraud. The Adenugas face maximum sentences of 10 years each in federal prison; a sentencing date has not been set.

The convictions are just the latest in a string of healthcare fraud cases in North Texas.

A Houston man was sentenced earlier this month to 72 months in federal prison and ordered to pay $880,000 in restitution for his involvement in the operation of Euless Healthcare Corporation and Medic Healthcare Incorporated. Godwin Umotong was one of six defendants convicted in the conspiracy, during which they submitted, or caused to be submitted, fraudulent claims to Medicare for diagnostic tests and office visits. Unlicensed doctors would work for EHC and Medic, and the conspirators would tell them that they would treat beneficiaries in the beneficiaries’ homes.

In total, more than $2.7 million was fraudulently billed, and of that amount, Medicare paid more than $1.3 million. ECH was located on West Bedford Euless Road in Hurst, and Medic, which operated from October 2009 to May 2011, was located in Houston.

And in October, two Grand Prairie men were convicted of healthcare fraud for their roles in a Medicaid scam that netted the father-son pair $1.4 million in fraudulent payments. A jury found Lawrence Dale St. John and Jeffrey Dale St. John guilty of a host of charges, including conspiracy to commit healthcare fraud. The St. Johns operated a company called A Medical House Calls, which claimed to provide services to in-home Medicare beneficiaries. Instead, the duo bilked taxpayers and the Medicaid system for more than a $1 million in bunk payments.

5 comments on “Arlington Couple’s Conviction Is Latest in North Texas Healthcare Fraud Trend

  1. Have you noticed a pattern to the majority of these healthcare fraud cases? Rarely are they committed by licensed physicians. The stringent criteria, strict credentialing, and years of intense training tends to filter out individuals of lower commitment to this high calling. Physicians remain among the most ethical and selfless members of our community. But as healthcare shifts more business and profit motives to non-physicians, that high standard is lost. The business community must insist that healthcare choices remain under the guidance of trusted physicians.

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  2. Also note how easy it appears for these small independent companies to commit fraud.
    Medicare and Medicaid should check out the applications of these companies before allowing them to bill these claims!

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  3. Dr. Culpepper and Bob –
    You can’t be serious. Scamming Medicaid and Medicare is businesss as usual for crooks, regardless of size or licensure. If you think it is confined to only small time operators or non-docs you are living in la la land.
    Doctor Watchdog – thanks for the posts.
    For all the fraud in dentisry, see the blog Dentist the Menace.

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  4. CMS could have easily dealt with these type of companies that bilk the system with better thoughtout policy. Instead they use a broad brush and are heavy handed in gutting the durable medical industry though the competitive bid. CMS even rountinely denies legitimate claims and preforms audits for small reputable independent DME making it difficult to stay in business. The result is less competition, less choice with poorer service for the consumer. The ‘Walmartization’ of the DME business is underway.

    Reply

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