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CEO and doctor charged in medical fraud scheme

A Chicago based visiting physicians company is under federal investigation for overbilling Medicare and taking millions of dollars more than it should’ve.
The CEO and a physician for Mobile Doctors, which is based on Chicago’s northwest side, are at the center of the investigation.

42-year-old CEO Dike Ajiri, from Wilmette, and 63-year-old Dr Banio Koroma, from Tinley Park, are accused in this alleged scheme, in which in-home doctors visits were altered by the company to bill for more money than what was actually owed.  The bills were then submitted to Medicare.
Court documents show this practice to “up-code” billing goes back to at least 2006 and cost the government at least $13 million dollars and perhaps as much as $32 million in over-payments.
In addition, Dr Koroma is charged with falsely certifying patients for in-home care.
Mobile Doctors serves as a go-between for in-home physicians and Medicare.
The government alleges that even if a doctor submitted a correct documents to Mobile Doctors, Mobile Doctors would change the billing codes to get more money.
The FBI raided the offices of mobile doctors today in Detroit, Indianapolis and Chicago.
Ajiri faces up to 10 years in prison and a $250,000 dollar fine.
Koroma faces up to five years and a $250,000 dollar fine.
This is an ongoing investigation, many people including other physicians and patients have been interviewed.

Both men are due back in court Thursday.

VIEW & ADD COMMENTS

7 Comments to “CEO and doctor charged in medical fraud scheme”

    keeping real said:
    August 27, 2013 at 6:37 PM

    everyone them need to be hanged!!!

      Half Scents said:
      August 27, 2013 at 8:26 PM

      Hanged for what???? Allowing medicare to underpay them? I'd say it's time for the doctors to hold medicare accountable. 80% of 120 dollars for an office visit? No wonder doctors are going broke. I make more than that fixing cars! And I went to college for 2 yrs! OMG…. Poor doctors!

    Giggles said:
    August 27, 2013 at 8:21 PM

    The real story should be how medicare is underpaying physicians. Maybe the physicians should storm medicare and arrest them for ripping them off?

    This should be a warning to every physician participating with medicare… Get out before it's you

    diane said:
    August 27, 2013 at 9:05 PM

    This is only one example of possible Medicare fraud by one entity. The are hundreds of f fraudulent cases filed everyday in this country. And this is just a drop in the bucket compared to whats coming under Obamacare.

    Just Wrong said:
    August 27, 2013 at 9:08 PM

    At $96 an office visit ( a level 4 medicare payment) , these doctors are not getting rich. If these mobile doctors see 10 patients a day, which is what is advertised in recruiting literature, that's 960 dollars a day. 50% of that is for practice expenses and 50% is for physician salary…

    after the math is done, it only equals 120,000 dollars a year….

    No, these doctors are not getting rich, just getting harassed by medicares new bully system.

    How many doctors will become victims of this before there are none left?

    These doctors are probably making less than the lawyers dragging them through the mud! BTW, I feel that government lawyers are OVER PAID and I want them arrested for taking and abusing my tax dollars too!

    CDubs said:
    October 3, 2013 at 3:39 PM

    So they overcharged by up to $32 million, and are only facing a $250,000 fine. That doesn't seem right

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