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23 Michigan residents charged in $61.5 million Medicare fraud schemes

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23 Michigan residents charged in .5 million Medicare fraud schemes


(CBS DETROIT) – Twenty-three Michigan residents had been charged in reference to two fraud schemes involving Medicare, totaling greater than $61.5 million.

On Tuesday, the Justice Division unveiled expenses for 13 of the 23 individuals, which included healthcare fraud, conspiracy to commit healthcare fraud, conspiracy to defraud the U.S. by means of cost and receipt of unlawful healthcare kickbacks, cash laundering, receipt of unlawful healthcare kickbacks, and cost of unlawful healthcare kickbacks.

Federal courtroom paperwork present Walid Jamil, 62, and Jalal Jamil, 69, of Oakland County, owned and operated a number of dwelling well being businesses in Metro Detroit, submitting about $50 million in pretend dwelling healthcare claims. 

They allegedly bribed different co-conspirators to recruit sufferers who didn’t want dwelling healthcare or certified for it. Additionally they entered quid professional quo relationships with doctor clinics to acquire data to fraudulently invoice Medicare, receiving $43 million.

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“The alleged actions of those defendants is an astonishing abuse of our well being care system,” U.S. Lawyer Daybreak N. Ison stated in a press launch. “By allegedly submitting fraudulent claims and paying unlawful kickbacks, these defendants looted Medicare so as to line their very own pockets at nice price to taxpayers. My workplace is grateful for the continued work of the Well being Care Fraud Strike Power to root out corrupt medical professionals.”

Federal officers say the Jamils employed Oakland County resident Carol Ibrahim, 45, and Wayne County resident Delanie Jackson, 48, who allegedly made unlawful funds to affected person recruiters and submitted pretend claims to Medicare. Ibrahim was additionally a straw proprietor on the businesses.

One other worker, Wayne County resident Ibrahim Sammour, 62, was working as a registered nurse and allegedly billed Medicare for dwelling healthcare providers he by no means supplied and falsely licensed sufferers as homebound.

Mary Smelter-Bolton, 69, of Oakland County, and Cass Hawkins, 52, of Wayne County had been allegedly recruiters paid by the Jamils to refer them Medicare beneficiaries for dwelling healthcare providers that had been billed.

In one other scheme, courtroom paperwork present Radwan Malas, 43, of Oakland County, operated Infinity Visiting Doctor Companies PLC and allegedly ordered his physicians to certify sufferers referred by the Jamils. Malas billed Medicare greater than $11.5 million for providers that weren’t supplied, together with 60-minute affected person visits, and providers not medically needed, corresponding to B-12 and Toradol injections.

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The DOJ says these pointless providers at Infinity had been supplied by physicians Alejandro Mataverde, 79, Cornelius Oprisiu, 82, and nurse practitioner Shafiq Rehman, 59.

Officers say Malas additionally demanded physicians to order the highest-reimbursing urine drug check for sufferers.  

Michael Molloy, 50, of Integra Lab Administration LLC, which supplied the urine exams, allegedly paid the wage of Infinity workers and made month-to-month funds to Malas in trade for orders for urine drug testing. Molloy and his co-owners submitted about $2.8 million in claims to Medicare, receiving greater than $730,000.

One of many individuals who agreed to have their wage paid by Molloy as a kickback was medical assistant Montaha Hgeige, 39, of Wayne County.

Ten different individuals, whose identities weren’t initially launched, had been additionally charged for his or her involvement within the scheme.

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Michigan

Michigan State’s leading rusher a familiar name for Rutgers football fans

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Michigan State’s leading rusher a familiar name for Rutgers football fans


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PISCATAWAY – It’s been a long college football journey for Michigan State’s leading rusher, but it’s one that started five years ago with Rutgers football.

Running back Kay’ron Lynch-Adams spent the 2019 and 2020 seasons with the Scarlet Knights before transferring to UMass, but now he’s with the Spartans and a player Rutgers’ defense will need to limit Saturday (3:30 p.m., FS1) at Spartan Stadium in East Lansing.

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The 5-foot-10, 215-pound Ohio native returned to the Power 4 level with the Spartans as a sixth-year graduate transfer, and through 11 games has a team-leading 580 yards rushing on 124 carries (4.7 yards per attempt) with two touchdowns.

Lynch-Adams’ production isn’t surprising to Rutgers coach Greg Schiano, who on Monday said he believed Lynch-Adams had this type of potential.

“I was disappointed when he left. I liked the young man, and I also really liked the football player,” Schiano said. “And I can remember exactly where I was when he called me to tell me he was leaving. I was truly disappointed, and really tried to keep him.”

Lynch-Adams played in nine games for Rutgers in 2019, finishing with 161 rushing yards on 48 carries. Then in 2020, he ran for 159 yards and one touchdown on 35 carries in the pandemic-shortened nine-game season.

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The problem for Lynch-Adams was that there was a stellar running back atop the depth chart – now two-time Super Bowl champion Isiah Pacheco of the Kansas City Chiefs.

While Schiano didn’t want Lynch-Adams to leave, he couldn’t blame him either.

“I understood why,” Schiano said. “You know, you had this guy by the name of Pacheco in front of him, and he’s a pretty good player, too.”

Lynch-Adams was productive at UMass – last season he rushed for 1,157 yards on 236 carries with 12 touchdowns.

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“It’s not like I have stayed in touch with him but I have a little bit,” Schiano said. “I really respect him. He’s a hard-working kid. He’s a really tough football player and I love the way he played. I loved what he did. He was a team guy. I was disappointed when we lost him, and I’m not surprised that he’s having success.”

Lynch-Adams will be the latest challenge for Rutgers’ run defense, which has been up and down this season. He splits carries with Nate Carter, who’s rushed for 452 yards and four touchdowns this season.

The Scarlet Knights are hoping to pick up a seventh regular-season victory, something they haven’t done since 2014.

Limiting Lynch-Adams will be a key to making that happen.

“He’s someone that we have to stop now for sure,” Schiano said.

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What injury? Freshman leads Michigan State past Colorado in Maui Invitational opener

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What injury? Freshman leads Michigan State past Colorado in Maui Invitational opener


So much for Jase Richardson’s sprained left ankle.

Less than a week after rolling it late in a game and being helped off the court, he led Michigan State on it.

The freshman guard came off the bench to score a career-high 13 points as the Spartans rolled to a 72-56 win against Colorado on Monday in the opening around of the Maui Invitational at the Lahaina Civic Center.

In the first tournament setting of the season, Michigan State overcame another miserable shooting performance beyond the arc (2-for-21) with a deep rotation, explosive transition game and active defense.

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The Spartans (5-1) will play their second of three games in three days on Tuesday (6 p.m., ESPN) in a semifinal against Memphis (5-0), which survived a late rally to knock off No. 2 UConn 99-97 in overtime earlier Monday. The other half of the bracket features No. 4 Auburn, No. 5 Iowa State, No. 12 North Carolina and Dayton, who are all playing later Monday night.

Richardson made six of eight field goals and was one of 10 different scorers for the Spartans, whose bench outscored the Buffaloes 40-13. Frankie Fidler scored nine, Jeremy Fears had eight and six assists and Coen Carr had eight points.

Julian Hammond led Colorado with a game-high 15 points while Elijah Malone scored 14.

Any concerns about Richardson’s mobility after suffering a sprained ankle late in last week’s 83-75 win against Samford were quickly erased. He checked in less than four minutes into the game and immediately got in the paint for a basket. Richardson shot 4-for-4 from the floor in the first half and Carr made all three of his shot attempts as the two combined for 14 of Michigan State’s 23 bench points in the opening 20 minutes.

That helped make up for the awful 3-point shooting that has plagued the Spartans so far this season. They entered Monday’s game ranked 352nd out of 355 teams in the nation from beyond the arc at just 22.1 percent and picked up where they left off. Michigan State shot 50 percent (15-for-30) from the floor in the opening half despite missing all nine 3-point attempts.

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After the teams traded baskets and slim leads, the Spartans closed the half on a 17-4 run. Colorado went scoreless for more than five minutes and missed 10 straight shots at one point before going into halftime trailing 38-25.

Coming out of the locker room, the Buffaloes put together an 8-2 run with a pair of triples from Hammond but three quick turnovers prevented them from further shrinking the deficit. After Michigan State missed its first 14 triple tries, Richardson knocked one down a little more than six minutes into the second half to reestablish a double-digit advantage. The Spartans cruised down the stretch to secure a spot in the semifinals.



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New bowl projections have Michigan in play at four different sites

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New bowl projections have Michigan in play at four different sites


Michigan clinched bowl eligibility by landing its sixth win of the season over the weekend, a 50-6 beat down of lowly Northwestern.

And while all eyes are on the rivalry game against Ohio State this Saturday (Noon, FOX), the postseason is fast approaching. In 13 days, the Wolverines will learn of their bowl draw. It won’t be a high-profile game like years past, but several intriguing sites remain a possibility for Sherrone Moore’s team.

The most popular pick this week is the Music City Bowl in Nashville, set for Dec. 30 at Nissan Stadium. It would mark Michigan’s first-ever appearance in the game and pit the Wolverines against an SEC school.

ESPN’s Mark Schlabach has Michigan playing Ole Miss in the Music City Bowl, CBS Sports’ Jerry Palm predicts a Michigan-Missouri matchup in Nashville, while USA Today’s Erick Smith projects the Wolverines to play Texas A&M. All three SEC schools have been in the playoff picture this year, setting the stage for an intriguing neutral-site game.

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Three other national writers have Michigan playing in three different bowl games. ESPN’s Kyle Bonagura predicts a Michigan-Syracuse matchup in the Duke’s Mayo Bowl on Jan. 3 in Charlotte. The Action Network’s Brett McMurphy, whose track-record projecting bowl sites and matchups is among the best, has the Wolverines playing Pittsburgh in the Pinstripe Bowl on Dec. 28 at Yankee Stadium in New York. And in an interesting outlier, The Sporting News’ Bill Bender projects a Michigan-Texas A&M matchup in the Dec. 31 ReliaQuest Bowl in Tampa, Fla.

How the top of the Big Ten fares when it comes to the 12-team playoff matters here. Getting four teams in like some are projecting would help Michigan’s standing in the bowl selection process. But if one of those teams gets left out (looking at you, Indiana), it would almost certainly kill any chance of returning to Florida.

After the playoff bids are doled out, the Citrus Bowl has the first pick of the remaining bowl-eligible Big Ten teams, followed by the ReliaQuest Bowl (former Outback Bowl). An 8 or 9-win Illinois would likely be the next Big Ten team off the board, followed by a 7 or 8-win Iowa. After that, though, is anyone’s guess.

And what if Michigan pulls off the upset in Columbus and gets to seven wins? It could suddenly move the Wolverines up the pecking order and give the ReliaQuest Bowl a reason to pick them, provided that Indiana does make the playoff.

This week will help offer some clarity with the Big Ten standings. There’s also a possibility of college football having too many bowl eligible teams this year. And while that certainly won’t affect Michigan — its brand and following are too large to keep out, even at 6-6 — but could limit the number of secondary bowls available to the Big Ten.

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  • BETTING: Check out our guide to the best Michigan sportsbooks, where our team of sports betting experts has reviewed the experience, payout speed, parlay options and quality of odds for multiple sportsbooks.



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