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Date: 04-04-2019

Case Style:

United States of America v. Evelyn Mokwuah

Case Number: 4:16-cr-00254

Judge: Gray H Miller

Court: United States District Court for the Southern District of Texas (Harris County)

Plaintiff's Attorney: Scott Armstrong and Kevin Lowell

Defendant's Attorney: Emmett Matthew Leeper , III

Description:





Houston, TX - Former Administrator of Two Houston Home Health Companies Sentenced to Prison in $20 Million Medicare Fraud Scheme

The former Director of Nursing and Administration of two Houston, Texas-based businesses was sentenced to 10 years in prison for her role in a $20 million Medicare fraud scheme involving false and fraudulent claims for home health services.

Evelyn Mokwuah, 54, of Pearland, Texas, former Director of Nursing and Administration of Beechwood Home Health (Beechwood) and Criseven Health Management Corporation (Criseven), both located in Houston, was sentenced by U.S. District Judge Gray H. Miller of the Southern District of Texas. Judge Miller also ordered Mokwuah to pay $20,462,607.21 in restitution to Medicare. On Aug. 10, 2017, following a four-day trial, a jury found Mokwuah guilty of one count of conspiracy to commit health care fraud and four counts of health care fraud.

According to evidence presented at trial, from 2008 to 2016, Mokwuah and others engaged in a scheme to defraud Medicare of approximately $20 million including the submission of fraudulent claims for home health services at Beechwood and Criseven that were not provided, not medically necessary or both. According to the trial evidence, Mokwuah falsely certified and billed for patients who were not homebound or did not qualify for home health services. Along with others, Mokwuah also falsified patient records to show that patients were homebound when they were not; paid patient recruiters to recruit Medicare beneficiaries to Beechwood and Criseven; and paid doctors to certify false plans of care for Medicare beneficiaries so that Beechwood and Criseven could bill Medicare for those services.

The case was investigated by the FBI and HHS-OIG, and was brought as part of the Medicare Fraud Strike Force, under the supervision of the Criminal Division’s Fraud Section and the U.S. Attorney’s Office for the Southern District of Texas.

The Fraud Section leads the Medicare Fraud Strike Force. Since its inception in March 2007, the Medicare Fraud Strike Force, which maintains 14 strike forces operating in 23 districts, has charged nearly 4,000 defendants who have collectively billed the Medicare program for more than $14 billion. In addition, the HHS Centers for Medicare & Medicaid Services, working in conjunction with the HHS-OIG, are taking steps to increase accountability and decrease the presence of fraudulent providers.


Charges:


ATTEMPT AND CONSPIRACT TO COMMIT HEALTHCARE FRAUD
(1s)

HEALTH CARE FRAUD
(2s-3s)

HEALTH CARE FRAUD
(4s-5s)

HEALTH CARE FRAUD
(6s-7s)

Outcome: ATTEMPT AND CONSPIRACT TO COMMIT HEALTHCARE FRAUD
(1s) 60 mos custody (to run concurrently with Counts 2S-3S); 3 yrs SRT (to run concurrently with all counts); $100 SA each count; $20,462,607.21 restitution; fine waived
HEALTH CARE FRAUD
(2s-3s) 60 mos custody (to run concurrently with Counts 1S); 3 yrs SRT (to run concurrently with all counts); $100 SA each count; $20,462,607.21 restitution; fine waived
HEALTH CARE FRAUD
(4s-5s) Dismissed
HEALTH CARE FRAUD
(6s-7s) 60 mos custody (to run consecutively with Counts 1S-3S); 3 yrs SRT (to run concurrently with all counts) $100 SA each count; $20,462,607.21 restitution; fine waived

Plaintiff's Experts:

Defendant's Experts:

Comments:



 
 
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