Financial Fraud: Terry Lynn and Rocky Freeland Anderson Charged to Commit Health Care Fraud, And Aggravated Identity Theft

Father and Son Charged in $16 Million Health Insurance Fraud Scheme

DALLAS – An indictment returned by a federal grand jury in Dallas this week charges Terry Lynn Anderson, 66, and Rocky Freeland Anderson, 36, of Dallas, with offenses related to their participation in an insurance fraud scheme, announced John Parker, U.S. Attorney for the Northern District of Texas.

Each defendant is charged with one count of conspiracy to commit health care fraud, ten counts of health care fraud and aiding and abetting and four counts of aggravated identity theft and aiding and abetting. Both defendants will make their initial appearances today before Magistrate Judge David L. Horan.

The indictment alleges that Terry Anderson was the owner of Anfree Incorporated, a Texas corporation that did business as Anderson Optical & Hearing Aids Center (Anderson Optical & Hearing). Terry Anderson co-operated Anderson Optical & Hearing with his son, Rocky Anderson, and both are licensed by the State of Texas as Fitters and Dispensers of Hearing Instruments. From January 1, 2011 through November 8, 2016, the defendants devised and executed a scheme to defraud Blue Cross Blue Shield of Texas (BCBS) by submitting claims for hearing aids that were not needed and, in many cases, not delivered to the BCBS subscriber. To increase the number of claims they could submit to BCBS, the defendants and their coconspirators engaged in fraudulent marketing practices.

For example, the defendants promised BCBS subscribers a free pair of high-end sunglasses or a free pair of prescription eyeglasses in exchange for taking a free hearing test. At the conclusion of these hearing tests, the defendants told subscribers that they had slight to mild hearing loss and required them to sign an order for hearing aids in order to receive the free sunglasses or prescription glasses. The defendants promised subscribers that the hearing aids would be provided to them at no cost, and that Anderson Optical & Hearing would not require the subscriber to pay any applicable copayment, coinsurance, or deductible. The defendants also offered BCBS subscribers $100 gift cards in exchange for referring family members and coworkers for free hearing tests.

The defendants took advantage of BCBS plans offered to employees of American Airlines because prior to 2014, the American Airlines insurance plans administered by BCBS had no maximum limit on the cost of hearing aids and allowed subscribers to obtain hearing aids once per plan year. In 2013, approximately 84.6% of Anderson Optical & Hearing’s total income came from BCBS and 99.7% of the BCBS payments were based on claims submitted for American Airlines employees and their dependents.

The defendants failed to conduct hearing tests that complied with BCBS’s medical policies related to the evaluation of hearing impairment. Many of the hearing tests were conducted in an employee break room at DFW Airport and lasted less than five minutes. The defendants then submitted claims to BCBS for reimbursement for hearing aids before dispensing hearing aids to the subscriber, and in some cases for hearing aids that they never delivered to the subscriber. The defendants kept lists of subscribers who had not received hearing aids despite BCBS having paid the claims. One such list contained 103 names.

The indictment also alleges the defendants falsified patient records, forged patient signatures, and attempted to dispense hearing aids and collect deductibles and coinsurance years after the subscriber was offered a free hearing test and free hearing aids.

In November 2013, BCBS conducted an audit of Anderson Optical & Hearing and requested copies of patient records for certain American Airlines employees and their dependents. On January 6, 2014, the Texas Department of State Health Services-Professional Licensing Unit (Professional Licensing Unit) conducted an investigation regarding a complaint it had received concerning the Andersons. In February 2014, when given the opportunity to respond to the complaint, the defendants submitted several patient records to the Professional Licensing Unit, including some of the same patient records that had been collected by BCBS. The patient records submitted to the Professional Licensing Unit had altered test scores, additional notations, and apparent forged signatures that were not present when the same records were submitted to BCBS in November 2013.

Anderson Optical & Hearing submitted claims to BCBS for hearing aids on behalf of American Airlines employees totaling more than $27 million, the vast majority of which were fraudulent. As a result of these claims, BCBS paid Anderson Optical & Hearing more than $16.7 million.

The indictment includes a forfeiture notice that would require the defendants, if convicted, to forfeit a 300 acre ranch in Bosque County, three vehicles, and more than $3.1 million that was seized from nine financial accounts in December 2015.

An indictment is merely an allegation and defendants are presumed innocent unless and until proven guilty beyond a reasonable doubt in a court of law. If convicted, however, each count of conspiracy to commit health care fraud and substantive health care fraud count carries a maximum statutory penalty of 10 years in federal prison and a $250,000 fine. The aggravated identity theft counts carry a mandatory statutory penalty of two years in federal prison and a $250,000 fine.

The case is being investigated by the Federal Bureau of Investigation.

Assistant U.S. Attorney Doug Brasher is prosecuting the case.

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What You Need to Know About Becoming a Notary

The first things you need to know about becoming a notary is what a notary is and what they do. A notary, or notary public is a public servant (officer) that has to take an oath just like any other public servant/official (even the president) in order to serve their community. A Notary public serves as state certified legal witnesses for the signing of legal documents like deeds, power of attorney forms, business documents, marriage and divorce papers and other legal documents in their state of certification. Each state has guidelines you must follow in order to become a notary public, but the process is similar in every state. As a notary, you can charge for your services and/or work in a couple of different areas in the field that can be quite lucrative like notary signing agent. The following information is an overview of what is required to qualify to be a notary.

Go to your state’s website to find out what the requirements are for becoming a notary. Please note that you must be free from criminal convictions to serve in this field.

Take the online certified notary public course and exam. Some states require that you show up in person to take the test while others will allow you to take it online. There are also notary websites that offer nationwide testing and certification online that you can check to see if they offer this course for your state. Some of these sites also offer other opportunities for notaries.

You will have to be fingerprinted, submit to a background check and possibly a credit check (depending on the state). These are things that you must pay to have done to submit to the state.

Once you ave accepted as a commissioned state notary public, you will receive your state seal stamp and information on your duties. Keep in mind that in order to keep your commission current you have to pay a fee when it ends.Those are the basic requirements for becoming a notary. The costs include the application fees (where they apply), course, certification exam, bonding (required) and omissions insurance which is required in most states. Omissions insurance is there to protect you and the general public against fraud or claims of fraud on your part. You will also need to invest in a notary journal which records the acts you witness. The journal is filled out by you and signed by the other party or parties. You can get more detailed information on becoming a notary online. This will help you decide if this is something you might want to do for your community.

Insurance Fraud Tips And Examples

Insurance industries report a possible 3% to 10% of all insurance claims are frauds. There also are many reports of exaggeration, for instance if a thief has stolen a TV from someone, he will usually hide his computer and radio and add it too the report. The second ones usually are average people looking for a quick buck or have gone the bad road because of their current financial problems, such as bankruptcy or business failure. On the other hand we have usual criminal offenders and organized crime. Members are already having a police record and looking to benefit from insurance frauds on a regular basis. The money stolen by these fraudsters is the money from other people who are insured and those paying premium prices for extra security.

Auto Insurance Scam

Lets look at a professionally organized automobile insurance scam involving many con artists. You get up, dress for work and drive through your town to your workplace. Someone is following you, but you don’t recognize it. At one time the car following will over take you and next hit the brakes making a rear-end collision. You won’t even know whats going on and in panic maybe even forget the facts and events that happened before the car crash. The driver which you ran on to will immediately approach you, ask you what is wrong and if you need any help. “Is everything okay, do you need a doctor? If you want I can call my own. No? Lets examine the situation then. We should call a towing service and car body repair shop, I have one stored in my cell phone. We also should make proper legal arrangements, I will call my lawyer for us.” Perfect! You think to yourself, hmm thats the best accident I’ve ever been too! What you don’t know is that the Car Shop hired the driver to run onto you on purpose. The doctor and lawyer also were awaiting the call, being part of the game. In the end you or your insurance will pay the doctor, lawyer, towing fee, storage fee, car repair… If you are in a car accident, read the fine print on every paper you will sign. Don’t accept offers for services from anyone involved in the collision.

Insured Documents Scam

Lets look at an example of fake insurance claims for travels. Even though nowadays travelling package at airports is highly automatized and computerized, there still are many reports on packages getting lost. Lugging baggage at airports is usually insured for a cost much less than the one paid if the package gets lost. Organized criminals therefor can and “loose” these to get money from an insurance company. More often at jobs like this there will be an insider person cooperating with the person who is about to “lose” their package. Same goes for insured papers and documents. During their transportation they somehow get lost during the way.

Fake Paper Claims

This is pretty simple. The con artist is trying to fool the insurance by making them believe an event that in reality never happened but only exists on the paper.

Fake Or Bogus Insurances

You are starting up a small business. As usual you have a low budget on start, but if you want to operate you have to get some insurances for your business or at least health care insurance for yourself and the employees. You ask around, look in newspapers, all across the internet to find a perfect deal. All of a sudden you find a special deal at a very low rate. You call the agent and sign the papers, happy you found this agent. Two months later one of your employees gets sick and you send him to your local hospital, but somehow he is denied to receive basic health care. You figure out you have signed a false insurance and gave the money to a thief.

Tax Fraud: U.S Attorney’s Office for the Northern District of Georgia List Of Tax Fraud Sentenced

Even Though Tax Day is behind us, a Reminder to be Vigilant about Tax Fraud

ATLANTA – The deadline for individuals to file their tax returns passed yesterday. Most will breathe a sigh of relief that their tax returns were filed on time. However, some may encounter an unexpected impediment – an unscrupulous return preparer who took advantage of them, or their identity was stolen and a tax refund has already been claimed in their name by a thief.

The U.S Attorney’s Office for the Northern District of Georgia, along with IRS-Criminal Investigations and other law enforcement partners, is actively engaged in combating tax preparing cheats and identity thieves. The following cases highlight some of the work done by the U.S. Attorney’s Office and its law enforcement partners in recent months relating to tax fraud.

Frazier B. Todd, Jr., Cozzie Walker and Roberta Sheffield

Frazier B. Todd, Jr. was sentenced to eighteen years, six months in prison on March 29, 2017, in connection with his conviction for preparing over $5.5 million in fraudulent tax returns on behalf of clients. Todd was found guilty following a four-day jury trial in December, 2016. Todd owned and operated Diverse Resource Business and Tax Firm in Union City, Georgia, along with Cozzie Walker and Robert Sheffield. Walker and Sheffield were also charged in the case and previously pleaded guilty.

“Mr. Todd represents a small but very harmful segment of the tax return preparation industry that takes advantage of our tax system,” said U.S. Attorney John Horn. “By falsely claiming that his clients were entitled to the American Opportunity Tax Credit and other tax credits, Todd and other fraudulent return preparers like him cause real financial damage to the government’s fiscal health and our economy as a whole. We urge the citizens in our district to be careful about who they entrust with the preparation of their tax returns.”

“IRS Criminal Investigation has a zero-tolerance policy for refund fraud. Return Preparer fraud is a top priority for the agency and our special agents work year round to bring return preparers who lack integrity and engage in illegal activities to justice,” said James Dorsey, Acting Special Agent in Charge, Atlanta Field Office. “The prison time received by Frazier Todd and his co-conspirators should serve as a strong warning that tough punishments await those who embark on a similar criminal path.”

According to U.S. Attorney Horn, the charges and other information presented in court: Todd conspired with Cozzie Walker and Roberta Sheffield to exploit the American Opportunity Tax Credit (“AOTC”), a refundable tax credit for certain college expenses such as tuition and related costs. Marketing the AOTC as a “stimulus” available to almost anyone, Todd and his business partners prepared false tax returns for thousands of clients, many of whom were disabled, elderly, or low-income.

Todd was also convicted for a much broader fraud scheme in which he exploited not only the AOTC but other tax credits as well to maximize his clients’ refunds. For example, he filed dozens of corporate tax returns falsely claiming that the businesses purchased tens of thousands of gallons of gasoline for “off-highway business use,” and were entitled to the Fuel Tax Credit. He also falsely claimed that clients had installed solar panels on their homes in order to claim the Residential Energy Credit, which is designed for taxpayers who make green energy upgrades to their homes.

On December 8, 2016, a jury found Todd guilty of conspiracy to commit mail and wire fraud, obstructing the internal revenue laws, and ten counts of presenting false claims for refund to the IRS. Cozzie Walker pleaded guilty on March 2, 2016, to conspiracy to commit mail and wire fraud. Roberta Sheffield pleaded guilty on March 21, 2016, to conspiracy to commit mail and wire fraud, and 14 counts of presenting false claims for refund to the IRS.

During his sentencing hearing before U.S. District Court Judge Mark H. Cohen, Todd, 58, of Atlanta, Georgia, was ordered to serve eighteen years, six months in prison, followed by three years of supervised release, and pay restitution to the IRS in the amount of $3,631,466. Judge Cohen stated that the conduct of Todd and his co-conspirators was “an abuse of the tax credit system” in this country. The sentencings of Cozzie Walker, 42, of Atlanta, Georgia, and Roberta Sheffield, 43, also of Atlanta, Georgia, are scheduled for May 16, 2017, before Judge Cohen.

Assistant United States Attorneys Lynsey M. Barron and Steven D. Grimberg prosecuted the case.

Tauya Muteke

Frazier Todd, Jr. is not the first return preparer to be sentenced to prison this year. On January 9, 2017, Tauya Muteke, 35, of Douglasville, Georgia, was sentenced to four years, nine months in prison, followed by one year of supervised release, after a jury convicted him on August 19, 2016, on two counts of preparing and filing false income tax returns and one count of failure to appear for trial. Muteke owned and operated Icon Tax Service, a tax preparation business located in Norcross, Georgia. According to U.S. Attorney Horn, the charges and other information presented in court: Muteke prepared and filed tax returns that made up businesses and falsified business expenses to make it appear as if the businesses had lost money, resulting in larger refunds for his clients. Muteke was originally scheduled to go to trial in March 2010, but three weeks before his trial date Muteke fled to Johannesburg, South Africa, and did not return to the United States for five years. He was arrested upon his return on July 13, 2015.

Assistant United States Attorneys Bernita B. Malloy and Christopher C. Bly prosecuted the case.

Kim A. Earlycutt, Shannon King and Marcia Farmer

The United States Attorney’s Office is also actively prosecuting numerous tax fraud cases. For example, on March 1, 2017, Kim A. Earlycutt, 54, of Covington, Georgia, and Shannon King, 37, of Lithonia, Georgia were indicted by a federal grand jury in the Northern District of Georgia and charged with conspiracy and filing false claims with the United States. In a related case, Marcia Farmer, 50, of Snellville, Georgia, pled guilty to a criminal information charging her with conspiracy to file false claims on October 28, 2016. According to U.S. Attorney Horn, the charges and other information presented in court: the three alleged co-conspirators obtained identity documents of foreign nationals, which they then used to manufacture and file false and fraudulent tax claim forms. These fraudulent tax returns were submitted to the IRS, resulting in more than $5 million in fraudulent refunds being paid.

Members of the public are reminded that the indictment against Earlycutt and King only contains charges. The defendants are presumed innocent of the charges and it will be the government’s burden to prove the defendants’ guilt beyond a reasonable doubt at trial.

Assistant U.S. Attorney Christopher H. Huber is prosecuting these cases.

All of the above cases were investigated by the Internal Revenue Service Criminal Investigation.

For further information please contact the U.S. Attorney’s Public Affairs Office at USAGAN.PressEmails@usdoj.gov or (404) 581-6016. The Internet address for the U.S. Attorney’s Office for the Northern District of Georgia is http://www.justice.gov/usao-ndga.

Buy A Car And Get Auto Insurance Quotes: Found Reliable And How Not to Be Scammed

How to buy a new or used car, and how to do an Auto Insurance Quotes Online without being cheated. Unfortunately, there are many internet companies that manage to fool customers, but also some websites that are false sales. This will guide you what to check before you buy a car, and how to make an auto insurance quotes online.

Get No-Hassle Auto Insurance Quotes Online

If you want to get the best coverage for the lowest rates, it pays to shop around and get auto insurance quotes!

The quickest and easiest way to browse for the best priced policy is to go online for quotes. Many websites offer you the capability of comparing prices and features from multiple top companies in order to find the cheapest rates.

In fact, many government websites suggest that you compare quotes to find cheaper rates, because each insurer offers unique rates and different benefits. By comparing companies, you can choose the policy best suited to your needs at the lowest price.

When you comparison shop online for auto insurance, you are able to instantly see the prices and benefits of various companies side-by-side.

  • Before beginning your comparison shopping for online auto insurance quotes, here are some things to have handy:
    Driver’s name
    Driver’s age and birth date
    Vehicle’s VIN
    Current mileage and estimated annual mileage of vehicle
    Vehicle’s year, make, and model
    Location where vehicle is stored at night/address of owner

Some auto insurance companies ask for your Social Security number and/or Drivers License number. However, many reputable companies do not require this information for a quote, believing that if you provide truthful information for the information noted above, you will receive an accurate quote.

Not being asked to provide sensitive, personal data helps to lessen the risk of identity theft. So, whenever possible, obtain your online car insurance quotes from a company who doesn’t ask you for that information.

 

There are 5 things to look for when shopping online for auto insurance and comparing quotes:

  1. One of the most important factors for most people is price. Side-by-side comparison shopping is a good way to see at a glance which companies are affordable, thus narrowing your choices.
  2. Check out the financial stability and A. M. Best rating of an insurer. Ratings range from A+ or A++ all the way down to C. Obviously, the higher the rating, the better and more stable the company.
  3. To find out the quality of an insurer’s customer service, pick up the phone and call the customer service number. This will give you an idea of what kind of customer service to expect as a policyholder.
  4. Check with the BBB Online or similar service to see if the insurer has had excessive complaints filed by consumers.
  5. Licensing is important. Carriers admitted in the state in which they’re soliciting insurance offer a much higher degree of protection to policyholders. In the event that an insurer becomes unable to pay out claims, a fund kicks in as a back up source.

Shopping online for auto insurance is the fastest, most timesaving and economical method of getting the coverage you need. You can also get a lot of valuable information about auto insurance online. If there are things you want to know about various aspects of car insurance, many online carriers have comprehensive details that will answer almost any question you might have.

Once you have compared auto insurance quotes and selected a company, you simply purchase your auto insurance on the spot… print your receipt… and you’re covered! It’s that easy!

Scams To Check For When Purchasing Car on Craigslist

If you’re looking to purchase your next vehicle online, watch out for scammers. Craigslist.org is an extremely useful site, but the platform sometimes sees the seedy underbelly of the Internet rear its ugly head. And you could be out some serious money. Many people have been taken advantage of due to e-commerce, and we want you to buy a car online safely. Trust your intuition, do your homework, and watch out for these seven common scams.

The eBay Transaction Services Scam

EBay Transaction Services does not exist. The ads on Craigslist look legitimate, and are usually fairly priced older vehicles. The “seller” often tells the person they’re about to scam that they’d like to insure the car’s purchase through this fictional service. Word to the wise? Don’t wire anyone money if you haven’t seen the product.

The Classic Car Scam

One of the most common ways to scam people is through the promise of a “classic” car. If you respond to an ad for one of these beauties, watch out for an email from the seller explaining an overseas move. The “seller” (read: scammer) will insist on an escrow service, and you’ll be out the purchase money with no car to show for it. Refuse to close any transactions before putting your eye on the vehicle.

The $3,600 Honda Scam

This scam was busted wide open, and is similar to the eBay Transaction Services Scam. The “seller” wanted the buyer to purchase a car off of Craigslist through the eBay Vehicle Purchase Program. Although the name sounds legitimate, the “seller” attempted to pressure the “buyer” (a known scam-buster) into a quick purchase. If someone is inciting you to immediate action and continually asks for your payment details and personal information, there’s probably something amiss.

The Non-Existent Car Scam

One scam-buster found an advertisement with vague pictures of a non-existent Honda Accord. The list price was fair, but there were some suspicious looking elements to the ad. Don’t get scammed because you don’t do your research; if an ad looks sketchy, it probably is.

The Lemon Scam

Even if you buy a car from a legitimate seller, make sure that you run a vehicle history report. One man bought a Ford Ranger for $4,500, and thought he had received a great deal. On the drive home from the purchase, a service light came on. Just miles later, the buyer’s new car completely broke down. He received no help from the seller (“All sales are final”), and had to spend thousands on repairs.

The Fake Check Scam

Sometimes the buyers bite back, and come up with scams of their own. In a common Craiglist scam, buyers will send a legitimate-looking check or money order for an amount higher than the selling price. Once they “realize” their mistake, they’ll ask to be sent or wired the extra money. During this time, they will also arrange to have the car picked up, but they’ll never do it in person. Your car and your money can be gone in a flash. Sellers! Watch out for these bogus buyers.

The No-Test-Drive Scam

If you’re buying a car on Craigslist, make sure that you can put your eyes on it before you hand over your dough. And better than that, make sure to take your future car for a test drive. Many people have been scammed by buying bogus cars with faulty titles and vehicle histories, and you don’t want to be among the bunch. Better safe than sorry, as you don’t want to end up a cautionary tale.

 

Healthcare Fraud: Hospice Plus, Phoenix Hospice, and Goodwin Hospice Have Agreed to Pay to Resolve Allegations That They Violated The False Claims Act

Hospice Companies To Pay $12.2 Million To Settle Kickback Claims

DALLAS – International Tutoring Services, LLC, f/k/a International Tutoring Services, Inc., and d/b/a Hospice Plus; Goodwin Hospice, LLC; Phoenix Hospice, LP; Hospice Plus, L.P.; and Curo Health Services, LLC f/k/a Curo Health Services, Inc. have agreed to pay $12.21 million to resolve allegations that they violated the False Claims Act by paying kickbacks in exchange for patient referrals, announced U.S. Attorney John Parker of the Northern District of Texas. Curo Health Services is headquartered in Mooresville, North Carolina and operates eight hospice affiliates across 18 states. In September 2010, Curo Health Services purchased Hospice Plus, Goodwin Hospice, and Phoenix Hospice, and consolidated the hospice companies under the Hospice Plus brand, which operates primarily in and around Dallas, Texas.

The settlement resolves allegations brought by several whistleblowers that Hospice Plus, Phoenix Hospice, and Goodwin Hospice submitted claims to Medicare and Texas Medicaid that were rendered false as a result of the payment of kickbacks by the hospices, its owners and employees, and others. There were two alleged kickback schemes. First, from 2007 through 2012, kickbacks were allegedly paid to American Physician Housecalls, a physician housecall company, in exchange for patient referrals to these hospice companies. The alleged kickbacks took the form of sham loans, a free equity interest in another entity, stock dividends, and free rental space. Second, from 2007 through 2014, kickbacks were allegedly paid to medical providers, including doctors and nurses as well as hospitals and long-term care facilities, in exchange for patient referrals to these hospice companies. The alleged kickbacks took the form of cash, gift cards, and other valuable items.

We will not tolerate the payment of illegal kickbacks, which unjustly drive up the cost of health care,” said U.S. Attorney Parker. “Any health care provider who seeks to profit illegally at the expense of federal beneficiaries and taxpayers will face consequences.”

The allegations resolved by this settlement were raised in two consolidated whistleblower lawsuits in Dallas, Texas. The lawsuits were filed under the qui tam provisions of the False Claims Act, which permit private individuals to sue on behalf of the government for false claims and to share in any recovery. In settling this matter, Curo Health Services did not admit any wrongdoing or liability.

In addition to reaching a settlement with these defendants, the United States also requested that the Court permit the United States to intervene in and prosecute the fraud claims against two former executives, Dr. Bryan White and Suresh Kumar. The case is captioned United States ex rel. Christopher Sean Capshaw, et al. v. Bryan K. White, et al.; Civil Action No. 3:12-cv-4457 (N.D. Tex.).

The Office of Inspector General of the U.S. Department of Health and Human Services and the FBI assisted in the investigation of this matter. The case is being handled by Assistant U.S. Attorneys Lindsey Beran and Kenneth Coffin.

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Healthcare Fraud: Ahmed El Soury Pleaded Guilty Pleads Guilty In Connection With Test-Referral Scheme With New Jersey Clinical Lab

New York Doctor Pleads Guilty In conspiracy to violate the Anti-Kickback Statute, the Federal Travel Act, and the honest services wire fraud statute

NEWARK, N.J. – An internal medicine doctor practicing in Staten Island, New York, today admitted taking bribes in connection with a long-running and elaborate test referral scheme operated by Biodiagnostic Laboratory Services LLC (BLS), of Parsippany, New Jersey, its president and numerous associates, Acting U.S. Attorney William E. Fitzpatrick announced.

Ahmed El Soury, 44, of Monmouth Junction, New Jersey, pleaded guilty to Count One of an indictment charging him with conspiracy to violate the Anti-Kickback Statute, the Federal Travel Act, and the honest services wire fraud statute. El Soury pleaded guilty before U.S. District Judge Stanley R. Chesler in Newark federal court.

According to documents filed in this case and statements made in court:

El Soury admitted accepting cash bribes in return for referring patient blood specimens to BLS. From March 2011 through April 2013, El Soury received bribes totaling more than $66,000 from BLS employees and associates. El Soury’s referrals generated approximately $650,000 in lab business for BLS.

The investigation has thus far resulted in 44 convictions – 30 of them doctors – in connection with the bribery scheme, which its organizers have admitted involved millions of dollars in bribes and resulted in more than $100 million in payments to BLS from Medicare and various private insurance companies. It is believed to be the largest number of medical professionals ever prosecuted in a bribery case.

The investigation has to date recovered more than $12 million through forfeiture. On June 28, 2016, BLS, which is no longer operational, pleaded guilty and was required to forfeit all of its assets.

The conspiracy charge to which El Soury pleaded guilty is punishable by a maximum potential penalty of five years in prison and a $250,000 fine, or twice the gross gain or loss from the offense. El Soury’s sentencing is scheduled for July 19, 2017.

El Soury is one of five physicians who have been indicted in connection with the BLS bribery scheme. Brett Ostrager – who was indicted Aug. 11, 2015 and pleaded guilty on Dec. 22, 2015 – was sentenced on June 8, 2016 to 37 months in prison. Salvatore Conte was indicted on Jan. 10, 2017, pleaded guilty on Feb. 28, 2017, and will be sentenced June 6, 2017. Bernard Greenspan was indicted on March 14, 2016, convicted at trial before U.S. District Judge William H. Walls on March 6, 2017, and will be sentenced on June 20, 2017. Thomas Savino was indicted on Dec. 20, 2016 and is pending trial before Judge Chesler.

Acting U.S. Attorney Fitzpatrick credited special agents of the FBI, under the direction of Special Agent in Charge Timothy Gallagher in Newark; inspectors of the U.S. Postal Inspection Service, under the direction of Inspector in Charge James V. Buthorn; IRS–Criminal Investigation, under the direction of Special Agent in Charge Jonathan D. Larsen; and the U.S. Department of Health and Human Services, Office of Inspector General, under the direction of Special Agent in Charge Scott J. Lampert, with the ongoing investigation.

The government is represented by Assistant U.S. Attorneys Joseph N. Minish, Danielle Alfonzo Walsman, and Jacob T. Elberg, Chief of the U.S. Attorney’s Office Health Care and Government Fraud Unit in Newark, as well as Assistant U.S. Attorney Barbara Ward, Acting Chief of the office’s Asset Forfeiture and Money Laundering Unit.

The New Jersey U.S. Attorney’s Office reorganized its health care fraud practice in 2010 and created a stand-alone Health Care and Government Fraud Unit to handle both criminal and civil investigations and prosecutions of health care fraud offenses. Since that time, the office has recovered more than $1.32 billion in health care fraud and government fraud settlements, judgments, fines, restitution and forfeiture under the False Claims Act, the Food, Drug and Cosmetic Act and other statutes.

Defense counsel: Albert Dayan Esq., Kew Gardens, New York

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Financial Fraud: Winfred Moses Pleaded Guilty Conspiracy to Make and Present False, Fictitious, And Fraudulent Claims to The IRS

NEWARK, N.J. – An East Orange, New Jersey, man was sentenced today to 26 months in prison for his role in a conspiracy to file false federal income tax returns on behalf of inmates at the Essex County Correctional Facility, Acting U.S. Attorney William E. Fitzpatrick announced.

Winfred Moses, 49, previously pleaded guilty before U.S. District Judge William H. Walls to an information charging him with conspiracy to make and present false, fictitious, and fraudulent claims to the IRS. Judge Walls imposed the sentence today in Newark federal court.

According to the documents filed in this case and statements made in court:

From 2013 through Aug. 5, 2014, Moses, Reginald Eaford, 46, also of East Orange, and others conspired to file bogus federal tax returns in order to fraudulently obtain tax refunds.

Eaford was an inmate at the Essex County Correctional Facility from approximately May 20, 2013 through Feb. 12, 2014. As part of the scheme, Eaford, Moses, and others obtained social security numbers, dates of birth, and other information from inmates at the jail. Eaford and Moses would then generate false W-2 forms indicating that the inmates had earned income during the relevant tax year and that federal income tax had been withheld from their paychecks.

Afterwards, Eaford and Moses filed false federal income tax returns on behalf of the inmates and had the refund checks sent to the Essex County Correctional Facility or to Moses’s East Orange residence. The proceeds of the fraud were split among Eaford, Moses, and the relevant inmates. Eaford and Moses admitted that they filed 112 phony tax returns that sought approximately $670,206 in fraudulent refunds.

In addition to the prison term, Judge Walls sentenced Moses to three years of supervised release and ordered him to pay restitution of $200,045. Eaford previously pleaded guilty with Moses on Dec. 19, 2016 and awaits sentencing.

Acting U.S. Attorney Fitzpatrick credited special agents of IRS–Criminal Investigation, under the direction of Special Agent in Charge Jonathan D. Larsen, postal inspectors from the U.S. Postal Inspection Service, under the direction of Inspector in Charge James V. Buthorn, and the Internal Affairs Division of Essex County Jail, under the leadership of Warden Roy Hendricks, with the investigation.

The government is represented by Assistant U.S. Attorney Francisco J. Navarro of the U.S. Attorney’s Office Criminal Division in Newark.

Defense counsel: Leigh-Anne Mulrey Esq., Morristown, New Jersey

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Health Insurance Fraud- What You Should Know

Health insurance fraud represents one of America’s largest taxpayer rip-offs ever, costing Americans literally billions of dollars every year.

Due to rampant deception, scams and abuse in the health care system, consumers are forced to pay the price–literally–through escalating medical costs and rising health insurance premiums.

And government programs like Medicare and Medicaid, designed to help the low-income and elderly, represent two of the biggest losers of all.

Health Insurance Scams

According to the Insurance Information Institute, health providers and facilities such as doctors, hospitals, nursing homes, diagnostic labs and attorneys routinely attempt to defraud the health insurance system…with devastating results.

How do they do it? In a number of ways, including:

  • Billing health insurance companies for expensive treatments, tests or equipment patients never had or never received
  • Double- or triple-billing health insurers for the same treatments
  • Giving health care recipients unnecessary, dangerous, or life-threatening treatments
  • Selling low-cost health insurance coverage from fake insurance companies
  • Stealing medical information and using it to bill health insurance companies for phantom treatments

If health insurance fraud knocks on your door, these types of scams may leave you with medical debts, damaged credit ratings, falsified health records, a high level of stress and overpriced health insurance premiums…or the inability to get any health insurance at all.

So what can you do about it?

  • Report it; then fight back!
  • What to Watch For
  • The first step to fighting health insurance fraud is keeping your eyes and ears open for abuse.
  • Be especially watchful for providers who:

Charge your health insurance company for services you never received or medical procedures you don’t need

Give you prescriptions for controlled substances for no justified medical reason

Bill your health insurance company for brand-name drugs when you actually get generics

Misrepresent cosmetic or other health care procedures not usually covered by health insurance plans as covered

If you notice a health care provider doing any of these things, keep all supporting paperwork handy for reference, and then contact your health insurance company to let them know.

Then, if you’re a Medicare or Medicaid recipient, call the U. S. Department of Health and Human Services and report the abuse.

Finally, contact your state department of insurance or the local police.

Fighting Health Insurance Fraud

To keep yourself from falling victim to health insurance fraud, take the following steps to fight back:

* Check with your state insurance department to make sure your health insurance company is licensed in your state.

* Check out your health insurance company for consumer complaints, fraud convictions and bankruptcies through your state department of insurance.

* Keep detailed medical records.

* Carefully review your billing statements.

* Never sign blank insurance claim forms.

* Avoid salespeople offering free health services or advice.

* Protect your medical records and information.

* Make sure you know what your health insurance policy covers–and what it doesn’t.

* Never pay your health insurance premiums in cash.

* Be wary if you’re asked to pay a full year’s premium up front.

* Be on guard against medical providers claiming to be connected with federal programs or the government.

* Beware of health insurance companies offering you coverage at an unreasonably low price.

* Ask your health insurance provider about anything you don’t understand regarding your bills.

Making a Difference

Protect your right to health insurance, lower your premiums and keep your medical information safe. All it takes is a little education, a watchful eye, and the willingness to make a difference!

About InsureMe Penny Hagerman is a copywriter and insurance information expert with InsureMe in Englewood, Colorado. InsureMe links agents nationwide with consumers shopping for insurance quotes. Specializing in auto, home, life, long-term care and health insurance quotes, the InsureMe network provides thousands of agents with insurance leads every year. For more information, visit InsureMe.com.

Financial Fraud: Fifth Defendant Charged For Cyberattacks, Aggravated Identity Theft and Debit-Credit Card Fraud

LOS ANGELES – The fifth and final defendant charged with using credit and debit cards obtained from a series of cyberattacks on U.S. companies that resulted in an estimated $5 million in losses – and caused one victim company to go out of business – has pleaded guilty to federal fraud charges.

Irina Fedoseeva, 33, a Russian national who resides in the Koreatown District of Los Angeles, pleaded guilty yesterday afternoon to conspiracy to use unauthorized credit and debit cards and admitted causing more than $225,000 in losses.

In a plea agreement filed in United States District Court, Fedoseeva admitted to helping make fraudulent purchases with debit cards obtained as a result of cyberattacks on two healthcare administrators in December 2015 and February 2016.

After helping a co-defendant make unauthorized purchases from retail stores that included Apple and Best Buy, Fedoseeva resold the merchandise on the internet.

Four other defendants previously pleaded guilty to federal fraud charges for their roles in the computer attacks.

Timur Safin, 29, of Burbank; Dmitry Fedoseev, 34, of Koreatown; and Kristina Gerasimova, 22, of the Miracle Mile District of Los Angeles, all of whom are Russian nationals, each pleaded guilty on March 20 to aggravated identity theft and debit/credit card fraud.

The fifth defendant charged as a result of this investigation – Siarhei Patapau, 26, of the Miracle Mile District of Los Angeles, a native of Belarus – pleaded guilty on March 6 to similar felony charges.

All five defendants pleaded guilty before United States District Judge Stephen V. Wilson, who is scheduled to sentence the defendants during hearings scheduled in June and September.

According to court documents filed in two separate cases, the five defendants conspired with computer hackers, some of whom are believed to be in Russia. The hackers staged attacks that included:

  • a July 2014 intrusion into an airline’s computer system in which the hackers funded pre-paid credit cards in the amount of $900,000;
  • a December 2015 hack into the system of a healthcare administrator that allowed the cybercriminals to reactivate a dormant dependent care account and order the production of numerous debit cards that were used to make approximately $550,000 in fraudulent purchases; and
  • a February 2016 attack on another healthcare administrator that allowed the intruders to order the production of debit cards linked to reactivated accounts that were used to make approximately $3.5 million in fraudulent purchases.

The computer hackers directed the pilfered debit and credit cards to be sent to the five defendants charged in Los Angeles and other co-conspirators. Members of the conspiracy then used the unauthorized cards to make cash withdrawals, purchase money orders and make purchases at retail outlets such as Apple, Best Buy, Home Depot and Target.

For example, Safin admitted in court that he used a number of the pre-paid credit cards to withdraw approximately $5,074 at ATMs throughout Los Angeles County and to purchase money orders totaling $19,420. He used debit cards obtained from the healthcare administrators to make at least $225,000 in fraudulent purchases.

When they were arrested last year, Fedoseev was in the possession of more than 519 unauthorized credit, debit and gift cards, and Patapau was found with approximately 525 credit and debit cards in other people’s names.

As a result of their guilty pleas, Patapau, Safin and Fedoseev each face a statutory maximum sentence of 12 years in federal prison when they are sentenced by Judge Wilson. Gerasimova faces a statutory maximum sentence of seven years, and Fedoseeva faces a statutory maximum sentence of five years.

The investigation that led to the two cases filed in Los Angeles was conducted by the Federal Bureau of Investigation.

The two criminal cases are being prosecuted by Assistant United States Attorneys Bryant Yang and Eric Tung of the General Crimes Section.

Original PressReleases…

Healthcare Fraud: Prestige Healthcare Has Agreed to Pay For Violated the False Claims Act

Madison, Wis. – Jeffrey M. Anderson, Acting United States Attorney for the Western District of Wisconsin, announced today that Prestige Healthcare has agreed to pay the United States $995,500 to resolve allegations that it violated the False Claims Act with regard to its role in an alleged scheme to falsely bill Medicare for unnecessary genetic testing.

Prestige Administrative Services, LLC d/b/a Prestige Healthcare (Prestige), which has its principal place of business in Louisville, Ky., is an owner and operator of nursing homes in several states, including four facilities owned and operated by Prestige in Wisconsin.  The four Wisconsin facilities are in Wisconsin Rapids, Rhinelander, Oshkosh, and Milwaukee.

Nursing home operators, such as Prestige, place orders with clinical laboratories for medically necessary diagnostic laboratory tests for their residents. In order to be considered medically necessary and thus reimbursable under Medicare, the laboratory test must be ordered by the physician treating the resident.

The United States alleged that in 2014, Prestige was approached by an entity known as Genomix, LLC, which claimed that it could perform genetic testing on Prestige’s Medicare residents in order to ascertain whether Prestige’s patients were properly metabolizing their medications. The United States alleged that in 2014 and 2015, Prestige provided Genomix with insurance and personal medical information, as well as access to Prestige patients in nursing homes in several states, including Wisconsin, for purposes of conducting the testing. Genomix conducted the testing by taking cheek swabs of each Prestige patient and then sending the cheek swab to a laboratory for analysis.

The United States alleged that Prestige failed to ensure that physician orders were obtained for the genetic testing prior to its being conducted, and that Prestige physicians were not aware of and did not agree with the medical necessity of the testing. United States also alleged that Prestige failed to ensure that its patients (or, in some cases, their family members responsible for their medical decisions) were appropriately informed of the testing prior to its being conducted and provided with the opportunity to decline the testing. Finally, the United States alleged that the lack of physician orders and patient consent was discovered during a survey conducted by state regulators in late 2015.

“I want to praise and thank not only the U.S. Department of Health and Human Services Office of Inspector General (HHS OIG) for the excellent investigative work that led to this settlement, but also the top-notch survey work done by the professionals in the Wisconsin Department of Health Services Division of Quality Assurance.” said Jeffrey M. Anderson, Acting United States Attorney for the Western District of Wisconsin. “The state surveyors did excellent work in identifying and documenting the issues that led to our investigation and, ultimately, this settlement. This settlement is an excellent example of our commitment to working in concert with our state and federal partners to eliminate Medicare fraud and elder mistreatment in Wisconsin.”

The settlement announced today resolved only Prestige’s civil liability and did not resolve any liability of any other individuals or entities, including that of Genomix, which is a separate entity headquartered in Southern California. As part of the settlement, Prestige agreed to cooperate in the United States’ ongoing investigation.

“As genetic testing technology is evolving, we see the same types of clinical testing abuses that are evident in more established testing,” said Lamont Pugh III, Special Agent in Charge for the Office of Inspector General of the U.S. Department of Health and Human Services. “Along with our law enforcement partners, we will investigate and prosecute violations in these newer health care technologies.”

The settlement was the result of a joint investigation conducted by HHS OIG and the U.S. Attorney’s Office for the Western District of Wisconsin. The prosecution of this case was handled by Assistant U.S. Attorneys Daniel Hugo Fruchter and Antonio M. Trillo.

Original PressReleases…

Tax Fraud: Rodrigo Pablo, Ashrf Mohammed Aly, Minon Miller And Lewis Jefferson Jr. Sentence For Fraudulent Income Tax Returns

LOS ANGELES –The United States Attorney’s Office and IRS Criminal Investigation today announced a 10-year prison sentence against one defendant and the filing of three criminal cases against four individuals who were involved in the preparation of fraudulent income tax returns.

While the vast majority of tax professionals provide honest and high-quality services, there are some dishonest return preparers who operate each filing season and perpetrate refund fraud, identity theft and other scams that hurt taxpayers. IRS Criminal Investigation and federal prosecutors work closely to shut down tax fraud schemes and prosecute the criminals behind them.

“The majority of tax return preparers are focused on helping taxpayers comply with their obligations to file timely and honest tax returns. The IRS relies upon these professionals to file truthful and accurate returns to deter tax fraud,” said Acting United States Attorney Sandra R. Brown. “Dishonest tax return preparers who defy the tax laws, whether for their own personal financial gain or to fraudulently obtain money for their clients, will be shut down permanently and face federal prosecution, which can result in significant prison sentences.”

“With the April 18th tax deadline looming, those who might consider preparing false tax returns should be aware of the extremely negative consequences of doing so,” stated Special Agent in Charge R. Damon Rowe of IRS Criminal Investigation. “The IRS enforces the nation’s tax laws, but also takes particular interest in return preparers who unjustly enrich either themselves or their clients by preparing false claims for refunds. Be assured that the IRS Criminal Investigation, together with our partners at the U.S. Attorney’s Office, will hold those who engage in similar behavior fully accountable.”

Oxnard Return Preparer Sentenced to 10 Years in Federal Prison in Scheme that Filed Nearly 13,000 Returns that Sought over $56 Million in Refunds

An Oxnard-based tax return preparer was sentenced this morning to 120 months in federal prison for his participation in a conspiracy to prepare and file approximately 12,825 fraudulent income tax returns that claimed more than $56 million in refunds.

Rodrigo Pablo “Paul” Lozano, also known as “El Profe,” 61, was sentenced by United States District Judge Philip S. Gutierrez.

Before the Internal Revenue Service was able to identify and stop the scheme, it had already paid out more than $23 million in refunds to Lozano and his co-conspirators. During today’s sentencing, Judge Gutierrez ordered Lozano to pay restitution of $23,094,300 to the IRS.

Lozano owned and operated an income tax preparation business – Lozano & Associates – Ayuda (“help” in Spanish) – where he hired, trained and supervised primarily Latino females in their late teens or early 20s to prepare clients’ federal income tax returns. Lozano operated his business by renting space from businesses that catered to Latino clients, such as a meat market on Hueneme Road in Oxnard. Lozano, a naturalized United States citizen from Mexico, went by the name “El Profe,” as he was a teacher before he began preparing tax returns.

Following a two-week jury trial last July, Lozano was found guilty of one count of conspiracy to defraud the United States. According to the evidence presented at trial, members of the conspiracy obtained Individual Tax Identification Numbers (ITINs), which are issued in lieu of a social security number to undocumented workers in the United States to allow them to file tax returns. The evidence demonstrated that co-conspirators provided Lozano with fake identification documents, such as Mexican Consular Identification Cards – also known as Matrícula cards – and birth certificates, which Lozano used to obtain ITINs in the names shown on the fake identification documents.

Using fake wage and tax statements (Forms W-2) and fictitious dependents, Lozano used the ITINs to file income tax returns that claimed the Additional Child Tax Credit, an IRS refund program designed to assist lower-income taxpayers with children. The fraudulent tax returns typically sought $3,000 to $4,000 in refunds. Lozano submitted nearly 13,000 false tax returns in an 18-month period in 2011 and 2012 while his employees were telling him that the identity and W-2 documents looked suspicious and the IRS was sending hundreds of warning notices stating that the tax returns and W-2s were invalid. Despite the repeated warnings, Lozano continued to direct his employees to file the fraudulent tax returns.

Lozano split the tax refunds with his co-conspirators. At times, he had employees count out tens of thousands of dollars in cash in a bathroom located next to his office space.

The case against Lozano was prosecuted by Assistant United States Attorney Byron J. McLain of the Major Frauds Section.

Owner of West Covina Tax Preparation Business and Associate Face Conspiracy and Other Federal Charges for Filing Hundreds of Allegedly Fraudulent Returns

The former owner of a West Covina tax preparation business has been arrested on charges that he and a co-conspirator used stolen identities to file 341 fraudulent federal and state tax returns that caused tax authorities to issue approximately $741,099 in tax refunds.

Ashrf Mohammed Aly, 42, the former owner and operator of Speedy Tax Service in West Covina, was arrested on April 3 by special agents with IRS Criminal Investigation and U.S. Immigration and Customs Enforcement’s Homeland Security Investigations.

Aly and a second defendant in the case – Arthur Bakunts, 39 – were named in a 13-count indictment returned on March 14 by a federal grand jury. The indictment charges Aly and Bakunts with conspiracy, wire fraud, unlawful possession of another person’s identification, and aggravated identity theft. Bakunts was arrested in February pursuant to a criminal complaint initially filed in this case.

According to court documents, Aly and Bakunts obtained stolen identities and filed fraudulent federal and state income tax returns in the names of the identity theft victims. The fraudulent tax returns were filed electronically from locations in Mexico and Chula Vista, and the refunds were diverted to Aly and Bakunts.

Bakunts had multiple identity profiles, tax refund checks, and other trappings of identity fraud in his car when he was stopped at a sobriety checkpoint in Glendale on May 24, 2014, according to court documents.

Aly and Bakunts each have entered not guilty pleas to the charges in the indictment. Both men are in custody without bond pending trial. United States District Judge Dale S. Fischer has scheduled trials on May 9 for Bakunts and May 30 for Aly.

If convicted of the charges in the indictment, each defendant would face a maximum sentence of 145 years, plus consecutive two-year sentences for each of four counts of aggravated identity theft.

The case is being prosecuted by Assistant United States Attorney Ranee A. Katzenstein.

Carson Resident Indicted for Tax Return Preparer Fraud

Minon Miller, 52, of Carson, was indicted last week on charges that she prepared and filed fraudulent federal income tax returns for both her clients and herself. Miller will be summonsed to appear for an arraignment in United States District Court.

A federal grand jury returned a 41-count indictment last Thursday that charges Miller with 37 counts of aiding and assisting in the preparation of fraudulent income tax returns, two counts of subscribing to fraudulent tax returns that she filed on her own behalf, and two counts of failing to file an individual tax return.

The indictment alleges that, from 2011 through 2016, Miller prepared and filed 37 tax returns on behalf of her clients that falsely claimed itemized deductions, business income and expenses, education credits and residential energy credits.

The indictment also alleges that Miller filed two personal tax returns that under- reported her actual income. Miller’s 2010 and 2011 tax returns claimed gross receipts, respectively, of $12,155 and $26,200, when Miller knew she received substantially more than the figures on the tax returns, according to the indictment.

In addition, Miller failed to file her 2012 and 2013 individual income tax returns.

If she is convicted, Miller would face a statutory maximum sentence of three years in federal prison for each of the 41 counts in the indictment.

The case against Miller is being prosecuted by Assistant United States Attorney Paul Rochmes of the Tax Division.

Long Beach Resident Indicted for Tax Fraud

A Long Beach man has been named by a federal grand jury in a 10-count superseding indictment that alleges he prepared and filed fraudulent federal income tax returns for both his clients and himself.

Lewis Jefferson Jr., 60, was charged last Wednesday and will be ordered to appear for an arraignment in United States District Court.

The superseding indictment charges Jefferson with eight counts of aiding and assisting in the preparation of fraudulent income tax returns and two counts of subscribing to fraudulent tax returns that he filed on his own behalf.

The superseding indictment replaces a eight-count indictment filed in January.

The superseding indictment alleges that over the course of 2011, Jefferson prepared and filed eight tax returns on behalf of seven clients that claimed false itemized deductions. The taxpayers were not entitled to claim the deductions – which ranged from $4,272 to $38,493 – on their tax returns.

The indictment also alleges that Jefferson filed two personal tax returns that under-reported his actual income. The 2010 and 2011 tax returns claimed gross receipts of $207,545 and $242,590, respectively, and Jefferson knew he received substantially more gross receipts than stated on the returns, according to the indictment.

If he is convicted of the 10 counts in the indictment, Jefferson will face a statutory maximum penalty of 30 years in federal prison.

The case against Jefferson is being prosecuted by Assistant United States Attorneys Charles Parker and James C. Hughes of the Tax Division.

An indictment contains allegations that a defendant has committed a crime. Every defendant is presumed to be innocent until proven guilty in court.

Most tax return preparers provide professional tax service. However, a few set out to use the personal and financial information provided to them to perpetrate fraud or other scams that can hurt their customers. Earlier this year, the IRS warned taxpayers that they are legally responsible for what is on the tax return even if someone else prepared the tax return. Taxpayers should be vigilant and ensure that their chosen return preparer reports accurate information. The IRS also warned the public about various schemes deployed by dishonest return preparers in its Dirty Dozen Tax Scams.

Financial Fraud: Virginia Department of Social Services (VDSS) Pay For Violated the False Claims Act

The Virginia Department of Social Services (VDSS) has agreed to pay the United States $7,150,436 to resolve allegations that it violated the False Claims Act in its administration of the Supplemental Nutrition Assistance Program (SNAP), the Department of Justice announced today. Until 2008, SNAP was known as the Food Stamp Program.

Under SNAP, the U.S. Department of Agriculture (USDA) provides eligible low-income individuals and families with financial assistance to buy nutritious food. Since 2010, SNAP has served on average more than 45 million Americans per month, and provided more than $71 million annually.

“SNAP is an important vehicle for helping needy families,” said Acting Assistant Attorney General Chad A. Readler of the Justice Department’s Civil Division. “This settlement reflects the Justice Department’s commitment to ensuring that taxpayer funds are spent appropriately so that the public can have confidence in the integrity of vital programs like SNAP.”

Although the federal government funds SNAP benefits, it relies on the states to determine whether applicants are eligible for benefits, to administer those benefits, and to perform quality control to ensure that its eligibility decisions are accurate. USDA requires that the quality control processes the states use ensure that benefits are correctly awarded, are free from bias, and accurately report states’ error rates in making eligibility decisions. The USDA reimburses states for a portion of their administrative expenses in administering SNAP, including expenses for providing quality control. The USDA also pays performance bonuses to states that report the lowest and the most improved error rates each year, and can impose monetary sanctions on states with high error rates that do not show improvement.

As part of the settlement, VDSS admitted that, beginning in 2010, it retained Julie Osnes Consulting, a quality control consultant, to reduce its SNAP benefits determination error rate by training VDSS quality control workers to “use whatever means necessary” to find a benefits decision “correct” rather than finding an error. VDSS also admitted that if its quality control staff “could not find a way to make a benefits decision correct,” they were instructed to “find a reason to ‘drop’ the case, or eliminate it from the sample.” VDSS acknowledged that this outcome-driven method, as implemented by VDSS between 2010 and 2015, “injected bias into the case review process” because it was designed to lower VDSS’s reported error rate by falsely reporting errors as “correct” or eliminating them from the sample. Through its use of these biased methods, VDSS was improperly awarded USDA performance bonuses for 2011, 2012, and 2013.

VDSS further admitted that VDSS quality control workers did not want to use the methods proposed by Julie Osnes Consulting because they believed the methods lacked integrity, injected bias into the quality control process, and violated USDA requirements, and that they communicated these concerns to their supervisors. VDSS admitted that the former VDSS quality control manager pressured and intimidated these employees to force them to adopt these methods, including, according to these employees, threatening termination, providing negative performance reviews, taking away teleworking and flexible scheduling privileges, and engaging in other forms of harassment and retaliation.

As part of the settlement, VDSS and the United States also agreed that VDSS had taken certain corrective actions beginning in 2015, including terminating its use of the improper quality controls methods devised by Julie Osnes Consulting.

“We appreciate the commitment and investigative assistance provided by our partners at the U.S. Department of Justice’s Civil Division, U.S. Attorney’s Office, and Virginia Office of the State Inspector General,” said Special Agent-in-Charge Bethanne M. Dinkins of the USDA Office of Inspector General (OIG). “We also wish to note the technical assistance provided by our colleagues in the Office of Audit at USDA, OIG. During our investigation, we worked together to address the concerns of state employees and others who alleged that the integrity of the SNAP quality control process was weakened by third-party consultants. These concerned individuals reported that cases were not being treated in a consistent manner, and that certain advice from consultants resulted in identified errors being diminished rather than used to improve eligibility determinations. Today’s settlement sends a strong message regarding the Government’s commitment to work across agency lines to protect the integrity of SNAP.”

The settlement was the result of an investigation conducted by the USDA Office of Inspector General (USDA-OIG), the Civil Division’s Commercial Litigation Branch, and the U.S. Attorney’s Office for the Western District of Wisconsin that arose out of a nationwide audit of SNAP QC processes by the USDA-OIG.

Something to Know About Life Insurance

To choose insurance you need to understand how it works. Life insurance is a contract with an insurance company. The insurance company gives a lump-sum payment in the event of death of the insured person. To avail this benefit the insured person has to pay premiums regularly to the insurance company.

Life policies are actually legal contracts between an insured person and the insurer. The insured person typically pays regular premiums or sometimes lump sum amounts to the insurance company. The payment by the insurance company is triggered by events such as death or terminal illness of the insured person. The terms and conditions of the contract define the limitations of the insurance. The terms and conditions may exclude certain events so as to reduce the liability of the insurance company and may not accept claims that are related to suicide, fraud, war, riot or civil unrest.

There are two major categories of insurances – Protection polices and Investment policies. Protection policies are those which provide a benefit. This is also sometimes called as term insurance. Investment policies are those where there is growth of the capital that is invested in the policy. These are universal life or whole life policies.

Term life policies are designed for a specific period of time. This means that they provide financial protection for a specific time period such as 10 – 20 years. After that time period they continue to offer coverage but at higher premium rate. These policies are generally used to replace the lost income of person after his working years. However the benefits of this policy are generally paid lump sum and not as regular payments like paychecks.

Universal policy is also a permanent life insurance and it is designed to provide coverage for lifetime. These policies allow flexible premium rates, that is, they allow lowering or rising of the premium throughout your lifetime. Also as compared to term policies, universal policies have a slightly higher premium. Universal policy is generally used for death benefit coverage as well as building cash value.

Whole Life policies provide lifetime coverage. These policies have higher premiums and the premiums are generally fixed. These policies build cash value and are generally used for preserving wealth that you plan to transfer to beneficiaries.

Life policies are contracts defined by terms and conditions and the various types of policies are chosen based on the goals of the owner. In simple terms, policies provide your dependents with ongoing income in case of a person’s premature death.

Nowadays, it is very easy to find the good information related to the life insurance or life insurance quotes by using the Internet. For more information click here.

Financial Fraud: Jorge Maldonado Sentenced for Conspiracy, Wire Fraud, Theft of Government Property, And Aggravated Identity Theft

Tax Preparer Sentenced to 84 Months in Prison in $1.2 Million Tax Refund Fraud Scheme

DOJ and IRS Remind Taxpayers to File Timely and Accurate Tax Returns by Tuesday, April 18, 2017

TALLAHASSEE, FLORIDA – Jorge Maldonado, 52, of Oviedo, Florida, has been sentenced to 84 months in prison and ordered to pay $1,203,073 in restitution for conspiracy, wire fraud, theft of government property, and aggravated identity theft. His three tax fraud conspirators are scheduled to be sentenced later this month. The sentence was announced by Christopher P. Canova, United States Attorney for the Northern District of Florida.

The co-defendants are:

  • Jennifer Maldonado, 29, of Oviedo, sentencing set for April 19 at 10:00 a.m.;
  • Sharon Glover, 55, of Sanford, Florida, sentencing set for April 20 at 2:00 p.m.; and
  • Diane White, 54, of Sanford, sentencing set for April 20 at 10:00 a.m.

In July 2016, a federal jury convicted the Maldonados of conspiracy, wire fraud, theft of government property, and aggravated identity theft. Co-conspirators Glover and White pled guilty in February 2016 to conspiracy, theft of government property, and aggravated identity theft.

During the six-day trial, the government presented evidence that, between 2009 and 2011, Jorge Maldonado and his daughter Jennifer, who were both tax preparers, conspired with Glover and White to obtain more than $1.2 million in income tax refunds issued on fraudulent tax returns. The Maldonados filed fraudulent returns that generated refunds. Glover and White cashed refund checks issued as a result of the fraudulent returns. They deposited cash proceeds of the checks into the Maldonados’ bank accounts or delivered the cash to the Maldonados. Glover and White cashed 505 checks by using fraudulent powers of attorney, approximately 16 different forged notary seals, and forged taxpayer signatures.

United States Attorney Canova said: “When fraudsters submit fraudulent tax returns, they are actually stealing from the millions of honest taxpayers who fulfilled their tax obligations accurately and on time. My office is committed to working with our law enforcement partners, such as the Internal Revenue Service, to ensure that tax dollars are used for their intended purpose.”

IRS-Criminal Investigation Tampa Special Agent in Charge Mary Hammond said: “When Jorge and Jennifer Maldonado used their tax return preparation service to steal client identities and make a fast buck for themselves and their co-conspirators, they underestimated the special agents of IRS Criminal Investigation. IRS-CI works diligently to protect the American tax system and root out criminals who prey on unsuspecting taxpayers. ”

This case resulted from an investigation by the Internal Revenue Service – Criminal Investigation. Assistant United States Attorneys Herbert S. Lindsey and Gary K. Milligan prosecuted the case.

The United States Attorney’s Office for the Northern District of Florida is one of 94 offices that serve as the nation’s principal litigators under the direction of the Attorney General.

To access public court documents online, please visit the U.S. District Court for the Northern District of Florida website.

For more information about the United States Attorney’s Office, Northern District of Florida, visit http://www.justice.gov/usao/fln/index.html.

For more information, contact:
Amy Alexander, Public Information Officer

amy.alexander@usdoj.gov

Original PressReleases…

Identity Theft: Scott J. Wolas Accused of a Fraudulent Real Estate Investment Scheme

Fugitive Sought in $1.5 Million Quincy Real Estate Scheme Arrested in Florida

BOSTON – A man accused of a fraudulent $1.5 million real estate investment scheme in Quincy, Mass., and who had been a fugitive for 20 years in connection with an unrelated New York grand theft and larceny indictment, was arrested today in Delray Beach, Fla., on federal charges in connection with the Quincy scheme.

Scott J. Wolas, 67, who, according to court documents, also used the names Eugene J. Grathwohl, Allen L. Hengst, Drew Prescott, Frank Amolsch, Endicott Asquith, and Cameron Sturge, was charged by criminal complaint with wire fraud and aggravated identity theft in connection with the proposed development of the former Beachcomber Bar property and the adjoining lot in Quincy. He appeared in the U.S. District Court in the Southern District of Florida (West Palm Beach Division) at 10:00 a.m. on Friday, April 7, 2017, for his initial appearance. Wolas is expected to return to Massachusetts at a later date to appear in federal court in Boston.

According to court documents, from at least 2009 through 2016, Wolas, using the name Eugene Grathwohl, operated a real estate business known as Increasing Fortune, Inc. and worked as a licensed real estate agent for Century 21 in Quincy. From 2014 through 2016, he solicited investments for the development of the Beachcomber Bar property located at 797 Quincy Shore Drive and for the construction of a single-family home on the adjacent property. He collected more than $1.5 million from at least 19 investors and promised each of them a significant return on their investments. He allegedly promised to pay out at least 125% of the profits related to the single-family home construction.

Wolas was scheduled to close on the Beachcomber property on Sept. 15, 2016. A week before, however, he left Quincy and ceased all contact with his then-girlfriend, his co-workers, and his investors. Law enforcement then discovered that Grathwohl was actually Wolas, a former lawyer who had been a fugitive since 1997 after being charged with fraud and grand larceny in New York. The real Eugene Grathwohl resides in Florida and is a friend of Wolas’ ex-wife.

The court documents also indicate that the bank account into which Wolas deposited investor funds has been drained, and that Wolas used the money mostly for his personal expenses unrelated to development of the real estate projects.

The charge of wire fraud provides for a sentence of no greater than 20 years in prison, three years of supervised release and a fine of up to $250,000 or twice the gross gain or loss. Aggravated identity theft carries a minimum term of two years’ imprisonment, which must be served consecutively to any term for the wire fraud, one year of supervised release and a fine of up to $250,000. Actual sentences for federal crimes are typically less than the maximum penalties. Sentences are imposed by a federal district court judge based upon the US sentencing guidelines and other statutory factors.

Acting United States Attorney William D. Weinreb; Harold H. Shaw, Special Agent in Charge of the Federal Bureau of Investigation, Boston Field Division; and Joel P. Garland, Special Agent in Charge of the Internal Revenue Service’s Criminal Investigation in Boston, made the announcement today. Assistant U.S. Attorney Sandra S. Bower of Weinreb’s Economic Crimes Unit is prosecuting the case.

Original PressReleases….

Tax Fraud: Seven Individuals Convicted of Tax Fraud

HOUSTON With the deadline for filing income tax returns rapidly approaching, Acting U.S. Attorney Abe Martinez and Special Agent in Charge D. Richard Goss of IRS – Criminal Investigation (CI) have jointly announced seven newly-charged tax return preparers as well as a significant sentencing and delivered a warning to those who are thinking about breaking the law by committing tax crimes.

“Federal law requires everyone to pay their fair share of taxes,” said Martinez. “False tax returns are an attempt to cheat the system, the U.S. Treasury and ultimately the American people. Return preparers have an obligation to seek only the refunds their clients are entitled to and charge a reasonable fee in doing so. Those who abuse their filing privileges will be investigated, caught and prosecuted to the fullest extent of the law. All taxpayers should also exercise caution in selecting preparers on whom they rely in seeking an appropriate refund. If a preparer promises financial dividends that are too good to be true, it may well be and could require a much greater repayment than the excess received.”

“Society places tax practitioners in a position of trust. Their customers provide them with some of their most sensitive personal information. When that trust is violated and the information is abused for fraudulent purposes, it causes significant harm not only to the individuals who are directly victimized but to the entire community,” said Goss. “IRS-CI special agents are working tirelessly to protect taxpayers from fraud and investigate potential unscrupulous tax return preparers.”

One such notable recent case involved a local tax return preparer who was ordered to federal prison for a second time for preparing false tax returns and obstructing the IRS in its enforcement of federal income tax laws.

Cedric Keith Oliphant, who was previously charged with and convicted of preparing dozens of false 2006-08 client tax returns, was released on bond in that case under a condition that he have no involvement in the preparation of tax returns other than his own. However, while awaiting sentencing, Oliphant resumed preparing fraudulent tax returns, attempting to hide his activity by putting the business and bank accounts in other people’s names.
He was sentenced 33 months on the earlier case and released from prison Aug. 26, 2016. A week later, he was taken into custody on the second case and ordered into custody. He later pleaded guilty to those charges and is now serving another 28-month federal prison sentence. He was further ordered to pay more than $725,000 in restitution for both cases. The Financial Litigation Unit of the United States Attorney’s Office has already seized $205,000 in cash, three cars worth $32,600 and Oliphant’s personal residence in Huntsville as partial satisfaction of his restitution obligation.

In addition to this significant sentencing, the U.S. Attorney’s Office has recently filed cases against seven other tax return preparers for aiding and assisting in the preparation and electronic filing of materially false U.S. Individual Income Tax Returns.

Yesterday, authorities arrested Ryan Damont Akers following the return of an indictment charging 15 counts of willfully aiding and assisting in the preparation of false U.S. Individual Income Tax Returns for others. He is expected to make his initial appearance before U.S. Magistrate Judge Nancy Johnson at 2:00 p.m. today. The U.S. Individual Income Tax Returns listed in the indictment cover years 2012 through 2014. The false items variously claimed on the returns include, among others, false amounts of gifts to charity by cash or check, false unreimbursed employee expenses, false losses from sole proprietorships and false Schedule D net long term capital losses, according to the indictment.

Also arrested yesterday was Dale Bradford Harding, charged with 15 counts of willfully aiding and assisting in the preparation of false U.S. Individual Income Tax Returns for others as well as one count of willfully filing a false income tax return for himself. Those tax returns cover years 2010 through 2014, with false items variously claimed on the returns including, among others, false amounts of gifts to charity by cash or check, false unreimbursed employee expenses, false losses from sole proprietorships, false Schedule E losses from partnerships or S corporations and false Schedule D net long term capital losses. He is expected to make an initial appearance in federal court in the near future.

Another recent filing includes the case against Yomi Michael John, doing business in Houston as Postal Tax Services. He is charged by criminal information alleging that during calendar years 2010 through 2013, he aided and assisted in the preparation and electronic filing of dozens of materially false 2009 through 2012 U.S. Individual Income Tax Returns for unsuspecting clients. John allegedly included materially false income, expenses, deductions and credits in these tax returns in order to generated at least $214,413 in excessive refunds. John kept a portion of the fraudulent refunds as preparation fees, according to the charges. He is expected to make his initial appearance in federal court on April 12, 2017.

In another separate but similar case, Crystal T. Kemp is charged with 16 counts of willfully aiding and assisting in the preparation of false U.S. Individual Income Tax Returns for others. The 16 false income tax returns that Kemp prepared for others cover tax years 2012 through 2015 with false claims on the returns including false losses from sole proprietorships, false education credits, false earned income credits and false child tax credits, according to the charges. She also allegedly filed two false income tax returns for herself for tax years 2013 and 2014. The indictment alleges these tax returns falsely claimed a much lower income than Kemp actually received from her business, CQ Tax Preparation.

Chester Swanson is yet another return preparer, charged with 21 counts of willfully aiding and assisting in the preparation of false U.S. Individual Income Tax Returns for others. The 21 U.S. Individual Income Tax Returns listed in the indictment cover years 2012 through 2015. The false items allegedly included on those return include false amounts of medical expenses, false amounts of gifts to charity, false unreimbursed employee expenses, false losses from sole proprietorships, false education credits and false deductions for tuition and fees. He is set for trial Aug. 14, 2017.

Finally, Derwin Blackshear and Terranjala “Denise” Wilder Smith operated a return preparer business known as Level One Tax Service in Houston. They were indicted earlier this year on charges they prepared and filed false tax returns reporting false wages and withholding taxes for clients for tax years 2011 through 2014. A total of 25 individual returns were charged in the indictment which resulted in fraudulent refunds totaling more than $250,000. Blackshear and Wilder allegedly received a portion of the fraudulent refunds as fees for preparing and filing the fraudulent tax returns. They are set for trial Sept. 11, 2017.

Each count of aiding and assisting in the preparation of false income tax returns is up to three years in federal prison and a possible $250,000.

IRS-CI conducted all of the investigations in these matters. Assistant U.S. Attorneys Jimmy Sledge, Charles J. Escher and Justin Martin are prosecuting the cases.
An indictment or information is a formal accusation of criminal conduct, not evidence.
A defendant is presumed innocent unless convicted through due process of law.

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Cyber Crime: Hani Kabbara Pleaded Guilty to Conspiracy to Commit Wire Fraud

Cyber Criminal Pleads Guilty To Involvement In Long-Running Fraud Scheme Using Overseas Call Centers

Earlier today, Hani Kabbara pleaded guilty to conspiracy to commit wire fraud. The plea was entered before United States Magistrate Judge Steven M. Gold at the federal courthouse in Brooklyn.

The guilty plea was announced by Bridget M. Rohde, Acting United States Attorney for the Eastern District of New York, and William F. Sweeney, Jr., Assistant Director in Charge, Federal Bureau of Investigation, New York Field Office (FBI).

“In this 21st century version of an age-old scam, Kabbara conned unwitting victims, many of them elderly, into sending hundreds of thousands of dollars to himself and his co-conspirators,” stated Acting United States Attorney Rohde. “This Office is committed to protecting innocent victims targeted by predators like Kabbara who operate in cyberspace.”

“Kabbara preyed on well-intentioned victims, many who were in the U.S. and elderly, when he used a telephone scheme to extort them under the guise a loved one had been arrested and the victim needed to send money in order for the grandchild to be released from jail,” stated FBI Assistant Director in Charge Sweeney. “He masterminded his schemes from what he thought was the safety of his home in Canada, hiding behind encrypted chats and online monikers. Facing up to 20 years in prison puts an end to his calculating, criminal ways. This case again showcases the commitment of the FBI’s Cyber Task Force to investigate those involved in cybercrime and bring them to justice, no matter where in the world they may reside.”

Between February 2014 and August 2016, Kabbara, also known as “The Mayor,” ran a sophisticated scheme that used overseas call centers to extort money from unsuspecting victims, many of them elderly, in the United States. Kabbara and his co-conspirators used various threats and deceit, for example telling the victim that a grandchild had been arrested and the victim needed to send money in order for the grandchild to be released from jail. Kabbara and the co-conspirators demanded payment from his victims in the form of MoneyPaks, which are vouchers that can be loaded with cash and then used to fund prepaid debit cards. The defendant sold the MoneyPaks in online criminal forums or, with his co-conspirators, transferred the funds onto prepaid debit cards that had been obtained using stolen identities. The defendant and his co-conspirators, who communicated with each other anonymously in cyberspace through dark web forums and encrypted chat applications, then used a crew of workers in and around the New York area to withdraw funds from the debit cards, consolidate the cash and send it back to the defendant in Canada.

When he is sentenced by United States District Judge Margo K. Brodie on July 6, 2017, Kabbara faces up to 20 years in prison, as well as criminal forfeiture and fines.

The government’s case is being handled by the Office’s National Security & Cybercrime Section. Assistant United States Attorney Una A. Dean is in charge of the prosecution.

The Defendant:

 

HANI KABBARA

Age: 32

Quebec, Canada

 

E.D.N.Y. Docket No. 16-CR-472

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Loan Fraud: Jason J. Keating Sentenced For Fraudulent Loan-Modification Scheme

Toledo-area men sentenced to nine and seven years in prison for stealing more than $1.1 million through fraudulent loan-modification scheme

Two Toledo-area men were sentenced to prison for stealing more than $1.1 million from hundreds of people through a fraudulent loan-modification scheme, said Acting U.S. Attorney David A. Sierleja and Stephen D. Anthony, Special Agent in Charge of the FBI’s Cleveland office.

Jason J. Keating, 38, of Toledo was sentenced to nine years in prison while and Christopher J. Howder, 40, of Perrysburg, was sentenced to seven years in prison.

Keating was ordered to pay $1.1 million in restitution while Howder was ordered to pay $561,000 in restitution.

Both pleaded guilty last year to charges of conspiracy to commit mail and wire fraud and multiple counts of mail fraud and wire fraud.

Keating and Howder worked at Making Home Affordable USA (MHAUSA) from 120 10th Street in Toledo, where Keating was self-described president and Howder was the self-described underwriting manager.

According to court documents filed in the case:

The company used various names but homeowners were told MHAUSA had a very high rate of success and that customers could achieve modified interest rates as low as 2 percent.

Prospective participants were told there was a flat fee for service, generally between $495 and $795. Participants were told to stop making monthly mortgage payments to their lenders and instead to pay a percentage of their mortgage to MHAUSA.

Participants were told MHAUSA would hold these payments in a “stimulus reserve” account to demonstrate the participants could reliably make payments, and that once the loans were modified, the money would be turned over to the lenders.

The money obtained through the fraud was spent on concessions at professional sports venues, restaurants, cash withdrawals, gentlemen’s clubs, a tanning salon, a Las Vegas hotel, a jewelry store and a lingerie store.

“These defendants took more than $1 million from people struggling to hold onto their homes,” Sierleja said.

“They used money obtained through fraud to pay for expensive restaurants and vacations,” Anthony said.

The investigating agency in this case is the Federal Bureau of Investigation and the Department of Housing and Urban Development – Office of Inspector General. The case was handled by Assistant United States Attorney Gene Crawford.

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Financial Fraud: Group Of Twelve Charged For Role in Fraudulently Obtaining Millions of Dollars in Virtually Untraceable Diamonds

Ten Arrested For Defrauding Victims Out Of More Than $9 Million In Diamonds

Schemers targeted victims in New York, Las Vegas, and Mumbai, India

Joon H. Kim, the Acting United States Attorney for the Southern District of New York, William F. Sweeney Jr., the Assistant Director-in-Charge of the New York Field Office of the Federal Bureau of Investigation (“FBI”), Leon Hayward, Acting Director of the New York Field Office of U.S. Customs and Border Protection, and James P. O’Neill, the Commissioner of the New York City Police Department (“NYPD”), announced the arrests of GODEL SEZANAYEV a/k/a “Gary,” MARK MULLAKANDOV, ALBERT FOOZAILOV, IMANIL MURATOV a/k/a “Eddy,” MANASHE SEZANAYEV a/k/a “Michael,” NATHAN ITZCHAKI, ARKADIY ISRAILOV, ALI JAVIDNEZHAD, MARK NATANZON, SHOLOM MURATOV, MENACHEM ABRAMOV, and NIZAMUDEN AKBARI for their role in fraudulently obtaining millions of dollars in virtually untraceable diamonds from victim wholesalers.  Ten of the defendants were arrested this morning and will be presented this afternoon before U.S. Magistrate Judge Andrew J. Peck in Manhattan federal court.  JAVIDNEZHAD and AKBARI remain at large.

Acting Manhattan U.S. Attorney Joon H. Kim said:  “The twelve charged defendants allegedly participated in a global conspiracy to defraud diamond dealers out of more than $9 million. Centered in Manhattan’s diamond district, America’s busiest hub in the diamond trade, the defendants allegedly took advantage of an industrywide system of credit and trust to obtain largely untraceable diamonds, and then, using various allegedly illegal schemes, refused to pay. We commend our law enforcement partners for their work in shutting this alleged criminal scheme down for good.”

FBI Assistant Director-in-Charge William F. Sweeney Jr. said:  “Diamonds have value worldwide so it comes as no surprise that an alleged organized ring would target diamond wholesalers in Manhattan’s diamond district in a worldwide scheme. Using everything from forged documents to bad checks and tall tales, the group allegedly swindled more than $9 million from victim wholesalers. The FBI-NYPD-CBP Joint Eurasian Organized Crime Task Force is committed to rooting out organized crime groups- big or small-wherever we find them operating I want to commend the FBI agents, NYPD detectives, and CBP officers on their hard work and collaboration in bringing this investigation towards prosecution.”

NYPD Commissioner James P. O’Neill said:  “As alleged, these defendants bought nine million in untraceable diamonds with bad checks, forged documents, and long stories to perpetuate their scheme. I want to thank the NYPD detectives, the FBI, the U.S. Customs and Border Protection and the Acting United States Attorney for the Southern District for their efforts to bring these defendants to justice.”

Acting CBP NY Field Office Director Leon Hayward said:  “U.S. Customs and Border Protection is proud of the expertise we bring to support and assist investigations that result in the takedown of criminal enterprises. It is through interagency partnerships and collaborative efforts, like the one leading to today’s arrests, that law enforcement successfully combats today’s criminal organizations.”

According to the allegations in the Complaint unsealed today in Manhattan federal court:

Since in or about 2015, the FBI has been investigating a series of predatory frauds perpetrated by a group of diamond merchants in New York City. This group swindles diamond wholesalers in a variety of ways, and then resells the ill-gotten diamonds through Manhattan’s diamond district.  In order to avoid detection, the group focuses on obtaining small round stones called melee diamonds, which are virtually untraceable, as they do not bear the unique numerical identifiers common on larger stones.

The group uses a variety of methods to defraud its victims, including bad checks, false references, forged documents, and tall tales—all to convince its victims to part with their diamonds before receiving payment.  The group’s most common technique is the “bust out”: first the group builds up credit and trust with a victim by paying for goods on delivery, and then, at the moment of maximum credit, the group walks away with the millions of dollars in diamonds, leaving the victim high and dry.

Once victims begin to realize their predicament, and begin to insist on payment, members of the group refuse and, instead, inform the wholesalers that their diamonds have been lost, or that another customer took the victim’s diamonds and has refused to pay, or that a different member of the group will repay the victim at some point in the future.  Members of the group have even conditioned payment on the victim’s willingness to assist the group in still another fraud.

Among the schemes described in the Complaint:

From at least January 2015 to November 2016, GODEL SEZANAYEV a/k/a “Gary”, ALBERT FOOZAILOV, IMANIL MURATOV a/k/a “Eddy,” MANASHE SEZANAYEV a/k/a “Michael,” and ALI JAVIDNEZHAD deployed an ad hoc strategy to obtain as much of the diamond inventory of a wholesaler (“Victim-1”) as possible without full payment. The defendants’ scheme caused Victim-1 in excess of $2.4 million in losses.

In or about May 2015, GODEL SEZANAYEV a/k/a “Gary,” ARKADIY ISRAILOV, and NIZAMUDEN AKBARI conspired to defraud a jewelry merchant at a Las Vegas trade show.

From in or about December 2015 to December 2016, ALBERT FOOZAILOV, NATHAN ITZCHAKI, MARK MULLAKANDOV, MARK NATANZON, MENCHAM ABRAMOV, and SHOLOM MURATOV induced numerous victims in Mumbai, India (“Victim-2,” “Victim-3,” “Victim-4,” and “Victim-5”) to send diamonds by interstate carrier by purporting to agree to payment terms that they had no intention to, and did not, honor. The defendants caused these victims losses in excess of $7.44 million.


GODEL SEZANAYEV a/k/a “Gary,” 40, ALBERT FOOZAILOV, 53, IMANIL MURATOV a/k/a “Eddy,” 60, MANASHE SEZANAYEV a/k/a “Michael,” 34, ALI JAVIDNEZHAD, 51, ARKADIY ISRAILOV, 38, and NIZAMUDEN AKBARI, 56, are each charged with conspiring to commit wire fraud, which carries a maximum sentence of 20 years in prison. FOOZAILOV, NATHAN ITZCHAKI, 58, MARK MULLAKANDOV, 41, MARK NATANZON, 68, MENCHAM ABRAMOV, 31, and SHOLOM MURATOV, 35, are charged with conspiring to commit mail fraud, which also carries a maximum sentence of 20 years in prison.  The maximum potential sentences in this case are prescribed by Congress and are provided here for informational purposes only, as any sentencing of the defendants will be determined by the judge.

Mr. Kim praised the outstanding work of the FBI, the CBP, and the NYPD for their investigative efforts and ongoing support and assistance with the case.

The prosecution of this case is being overseen by the Office’s Violent and Organized Crime Unit.  Assistant U.S. Attorneys Noah Falk and Andrew Thomas are in charge of the case.

The charges contained in the Complaint are merely accusations, and the defendants are presumed innocent unless and until proven guilty.

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