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Filipino couple in Chicago charged in $45M Medicare fraud

/ 01:04 AM April 16, 2016
Wisconsinsmp.org

WISCONSINSMP.ORG

CHICAGO, Illinois – A Filipino couple accused of swindling the federal government out of $45 million through a Medicare fraud scheme has also been charged with conspiring to force a Filipino woman to work as their nanny and housekeeper against her will.

Richard Tinimbang, 38, of Chicago, is charged with one count of conspiracy to defraud Medicare, one count of conspiracy to pay or receive health care kickbacks, two counts of paying kickbacks to induce referrals of Medicare beneficiaries, one count of money laundering conspiracy, one count of conspiracy to obtain forced labor, and one count of presenting false statements in an immigration document.

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Tinimbang’s wife, Maribel, 40, of Chicago, is charged with one count of conspiracy to defraud Medicare, one count of money laundering conspiracy and one count of conspiracy to obtain forced labor. The Tinimbangs’ arraignment date has not yet been set.

False Medicare billings

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Richard and Maribel Tinimbang’s company, Patients First Physical Therapy Inc., billed itself as providing in-home therapy services to patients of the three companies, prosecutors said.

The charges against Richard and Maribel Tinimbang are in an April 6 indictment in U.S. District Court in Chicago, as part of a larger health care fraud investigation, according to a U.S. Department of Justice press release.

The investigation has led to charges against 13 other people. Those people worked at three health care companies owned by Josephine Tinimbang, Richard’s mother, and are accused of conspiring to commit health care fraud and laundering money to conceal the scheme.

The couple — who attempted to conceal the money they pocketed by claiming business expenses — and Josephine Tinimbang used proceeds from the scheme to purchase vehicles, jewelry, shares of stock and real estate, including a 5,000-square-foot home in Lincolnwood, prosecutors said.

$45 million fraud

From 2008 to 2014, the couple participated in the $45 million fraud scheme involving three Lincolnwood-based home health care companies — Donnarich Home Health Care, Inc.; Josdan Home Health Care Inc.; and Pathways Home Health Services LLC — owned by Josephine Tinimbang, prosecutors said.

The three companies paid bribes and kickbacks in exchange for referring elderly and disabled patients for treatment that was funded by Medicare; ignored doctors who refused to certify beneficiaries as being in need of in-home treatment; and falsified medical records to make patients appear sicker than they actually were, prosecutors said.

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Three people have pleaded guilty and are awaiting sentencing, while the other 10, including Josephine Tinimbang, are awaiting trial.

Forced labor charge

 

The April 6 indictment also accuses Richard Tinimbang of submitting fraudulent forms to the U.S. Department of Homeland Security so that a Filipino woman could legally work in the country.

He claimed in a form that the woman would be hired as a business analyst at Josdan and she would therefore be qualified for an H-1B visa.

However, when she arrived in the U.S., she went to work full-time as a nanny and housekeeper for the couple and others.

Richard and Maribel Tinimbang also tried to get the woman to sign a seven-year “servitude contract,” indicating she would be paid $66 per day, regardless of the number of hours worked. The contract also stated that if the woman quit before the seven years were over, she would be required to pay $25,000 in damages.

They also threatened to send her back to the Philippines without being paid if she didn’t surrender her passport and sign the contract, prosecutors said.

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TAGS: Chicago Medicare fraud indictment Filipinos, Donnarich Home Health Care Inc., forced labor indictment, Josdan Home Health Care Inc., Josephine Tinimbang, Maribel Tinimbang, Medicare, Pathways Home Health Services LLC, Patients First Physical Therapy Inc., Richard Tinimbang, U.S. District Court in Chicago
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