Texas Home Health Manager Sent to Prison for $21M Medicare Fraud Scheme

The last convicted in a large-scale multi-year home health fraud conspiracy has been ordered to federal prison. Felix Amos, 72, Houston, pleaded guilty Dec. 18, 2018, to conspiracy to commit healthcare fraud. On October 31, 2022, he was sentenced to 30 months in federal prison and three years of supervised release. He was further ordered to pay $21,197,440 in restitution. Oluyemisi Amos (the wife of Felix Amos), 41, Houston, previously pleaded guilty and later received a sentence of 72 months in prison. On March 22, a jury returned guilty verdicts against Fausat Adekunle, 39, Richmond, on 10 counts following a four-day jury trial. She was sentenced to 144 months in federal prison to be immediately followed by three years of supervised release. She must also pay restitution of $21,197,440.14. At Adekunle’s trial, the jury heard that the Amos couple owned and operated five home health companies from 2010 to 2015. Adekunle served as the office manager.

Evidence and testimony revealed how the three conspired to submit claims to Medicare for home health services for patients that did not need services or did not receive services. In addition, physicians did not order these services for the beneficiaries. Once the Amoses took over one of the companies, there was a dramatic increase in the billing for services. Authorities would place restrictions on them after noticing the high-volume billings, but not before Medicare had paid out millions in fraudulent claims. Felix Amos, along with Oluyemisi, paid physicians to certify Medicare beneficiaries for home health services they either did not provide or for which they did not qualify. Felix used the money to purchase a $3.5 million house in Houston and two other properties.

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