The owner of Fairfax County home health care company has been accused for fraudulently billing millions to the state. The owner accused of Virginia Medicare Fraud worth $4.5 million, is apparently behind the bars.
The case emerged when Virginia was preparing to expand its Medicaid Program. The President of home health care company, Mercy Services of Health, John Ndunguru, has been prosecuted with 12 charges. Mainly, accused for fraudulently charging Virginia’s Medicaid program for $4.5 million.
According to documents filed in the court, the agency that looked after Medicaid has already paid $3.6 million to Ndunguru. The investigators alleged that Ndunguru made false Medicaid claims on behalf of 59 patients who were not authorized for long-term care.
In a statement,Trina Greene, the Mercy Services office manager, said that workers are shocked by the news but are standing behind the man, they tenderly call Doctor John.
Investigators from the attorney general’s office raided the offices of Greene and other employees last week and seized 10 computers along with 33 boxes of documents.
According to the court documents,some other issues are also alleged at Mercy Services. Investigators say doctor’s signature was copied fraudulently on some patient documents. Also, records of the required patients were missing from the documents and Mercy Services did not conduct criminal background checks on some home health care aides.
The company provides services to around 90 patients and employs about 100 home health care aides. Greene said that Mercy Health employees are planning to continue their work for now.
In October, President Trump had proposed to lower the prices of certain drugs, by setting up an “international pricing index” that would be used as a reference to set prices paid for drugs paid for through Medicare Part B, the section of Medicare that covers drugs administered in a doctor’s office.
The Virginia Medicare Fraud raises contradicting questions on the Trump administration’s healthcare proposal. While the administration’s focus is on lowering drug prices for the benefit of people, there are frauds happening in the same healthcare sector that are going unnoticed.