Owner of Home Health Agency Sentenced to Five Years in Prison for Structuring $1.8 Million in Cash Withdrawals to Conceal a $4.5 Million Healthcare Fraud Scheme | WPN World People News

The owner of a home health services company was sentenced to serve five years in prison for his leading role in a conspiracy to structure over $1.8 million in bank withdrawals to conceal a $4.5 million healthcare fraud scheme.

Assistant Attorney General Leslie R. Caldwell of the Justice Department’s Criminal Division, U.S. Attorney Kenneth Magidson of the Southern District of Texas, Special Agent in Charge Perrye K. Turner of the FBI’s Houston Field Office, Special Agent in Charge Lucy Cruz of the Houston Field Office of the Internal Revenue Service-Criminal Investigation Division (IRS-CI), Special Agent in Charge William Fergus of the Chicago Regional Office of the United States Railroad Retirement Board, Office of Inspector General (RRB-OIG), Special Agent in Charge Mike Fields of the Dallas Regional Office of the U.S. Department of Health and Human Services, Office of the Inspector General (HHS-OIG), and the Texas Attorney General’s Medicaid Fraud Control Unit (MFCU) made the announcement. U.S. District Judge Sim Lake of the Southern District of Texas imposed the sentence.

On April 16, 2014, Felix Maduka, 59, of Richmond, Texas, pleaded guilty to conspiring to structure more than $1.8 million in cash withdrawals and eight counts of structuring cash withdrawals from bank accounts where his company, Joystar Home Health Services LLC, received fraudulent payments from Medicare. His wife and co-defendant, Stella Maduka, 49, was Joystar’s Director of Nursing. In addition to the structuring charges, she also pleaded guilty to one count of healthcare fraud and one count of making false statements.

According court documents, Felix and Stella Maduka withdrew just under $10,000 in cash from Joystar bank accounts on nearly 300 occasions to avoid the bank’s mandatory reporting requirements of cash transactions involving more than $10,000 in cash. They engaged in this structuring scheme to conceal the monies used to pay illegal kickbacks to recruiters in exchange for referring Medicare beneficiaries to Joystar and to doctors for authorizing home health services that were not medically necessary nor provided. To further conceal the scheme, Felix and Stella Maduka fabricated patient records to support the fraudulent Medicare billing.

Source: U.S. Department of Justice