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San Diego County News

Independent publication serving San Diego County

Two Dallas Doctors, Four Others Charged For Roles In $13.4 Million Medicare Fraud Scheme

February 28, 2016 By sdcnews

Dallas, TX–Six individuals, including two Dallas-area doctors, were charged in a superseding indictment that was unsealed Friday for their alleged participation in a $13.4 million health care fraud scheme involving fraudulent claims for home health services.

Dr. Kelly Robinett, 66, of Denton County, Texas; Dr. Angel Claudio, 60, of Hood County, Texas; Patience Okoroji, 57, of Dallas County, Texas; Usani Ewah, 58, of Dallas County ; Kingsley Nwanguma, 45, of Dallas County; and Joy Ogwuegbu, 39, of Collin County, Texas, were each charged with one count of conspiracy to commit health care fraud. They were also each charged with health care fraud: Robinett and Nwanguma with three counts each, Claudio with two counts, Okoroji and Ewah with five counts each and Ogwuegbu with four counts.  Okoroji, Ewah, Nwanguma and Ogwuegbu were previously charged in the original indictment.

Robinett, a doctor of osteopathic medicine, is the owner of Boomer Housecalls, based in Frisco, Texas. Claudio, a medical doctor, is an employee of Dallas-based Texas Medical Housecalls.

Okoroji and Ewah co-owned Timely Home Health Services Inc. (Timely), where Okoroji was an administrator and licensed vocational nurse and Ewah was the director of nursing and a registered nurse. Nwanguma was a licensed vocational nurse working for Timely and Ogwuegbu was the former director of nursing for Timely.

The indictment alleges that from approximately January 2007 to September 2015, the suspects conspired to defraud Medicare by causing the submission and concealment of false and fraudulent claims to Medicare.  According to the allegations, Robinett and Claudio falsely certified beneficiaries for home health care when the patients were not under their care and did not qualify for home health services.  The indictment also alleges that in some cases, Okoroji and Ewah would pay recruiters, including Nwanguma, to recruit beneficiaries for home health services, regardless of whether the beneficiaries needed home health care. Okoroji, Ewah and Ogwuegbu allegedly prepared or caused to be prepared fraudulent Medicare documents that made it appear as though the beneficiaries qualified for home health services.

The indictment alleges that during the scheme, the suspects billed Medicare approximately $13,434,550 based on false home health certification signed by doctors, including Robinett and Claudio, and false and fraudulent claims for home health services.

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