A Highland home health provider must pay more than $217,000 after an investigation from Attorney General Todd Rokita’s Medical Fraud Control Unit.
Allpoints Home Health Care Inc. billed the Medicaid program for thousands of hours not actually worked and submitted 1,055 false claims, according to a Thursday news release from the attorney general’s office.
“Week after week, our nationally renowned Medicaid Fraud Control Unit does outstanding and incredibly thorough work on behalf of Hoosiers,” Rokita said in a news release. “And of all the types of fraud committed, what is more sinister than stealing money which was intended to help low-income sick people pay their health care bills?”
Mohammad Adnan Satti, employee at Allpoints Home Health Care, was originally charged with Medicaid fraud and theft — two felonies. After a plea agreement was accepted, Satti was charged with a lesser theft charge, according to online court records.
On June 7, 42-year-old Satti was sentenced to 18 months of suspended jail time as part of the plea agreement.
A witness told Investigator John Mills that Satti was in charge of all billing at Allpoints, according to a probable cause affidavit written by the Medicaid Fraud Control Unit member.
The Family and Social Services Administration contacted the Medical Fraud Control Unit on Jan. 26, 2021, and reported suspected fraudulent billing from Allpoints, according to the affidavit.
The referral centered around one Medicaid recipient in April 2019, who received home health services from Allpoints. Her nurse noticed that the plan called for a health aide to be at the home for four hours each day, but no one had been present.
In February 2021, the Medical Fraud Control Unit sent a subpoena to Allpoints for documentation to support billing for 16 patients who used Medicaid billing. The unit noted “widespread billing inconsistencies” with eight reviewed recipients, according to the affidavit.
Billing performed by Satti’s account had been done near Chicago, Michigan and Pakistan. An analysis also showed that Satti billed during times when the recipient wasn’t available for services, such as when on vacation.
The analysis found an overpayment of more than $64,000 for services between Jan. 2, 2018, and Oct. 5, 2019, according to the affidavit.
In a recorded interview with Mills, Satti said the process used for billing was in accordance with Allpoints’ policy. Hours worked by home health aides were reported in timesheets, Satti said.
Satti told Mills that he lives in Munster and owns property in Highland, Michigan. He also said he was the only person who would have billed for services in Pakistan.
Satti was originally charged on Dec. 22, 2022, but an additional charge was added on May 30, according to court records. The additional charge was added for plea purposes, while the other two were dropped.
Satti’s sentence will be served on probation, according to online court records.
As of Thursday, Allpoints was still open and offering services, according to its website.
mwilkins@chicagotribune.com
