Corporate Compliance

Houston man received $680,000 from Medicaid in diaper fraud scheme

Compliance Monitor, June 10, 2009

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Ene Etim Hogan pleaded guilty June 5 to three counts of healthcare fraud, according to a Department of Justice (DOJ) release.

Using his durable medical equipment (DME) supply company, Shanet Medical Source, Hogan billed Medicaid for a larger number of urinary incontinence supplies (i.e., adult diapers, underpads, wipes and pull-up briefs) than he had actually delivered. In some cases Hogan billed Medicaid for diapers that he never actually delivered. In other cases,

Hogan continued to deliver and bill Medicaid for supplies after beneficiaries informed him they did not need or want the supplies.

The release also said Hogan often billed Medicaid for the most expensive supplies with no regard for neccessity. For example, Hogan would bill Medicaid for the extra large diapers without considering the beneficiary’s size.

The DOJ said the scheme began in June 2004 and ended in March 2006. Hogan billed Medicaid for claims totaling approximately $1.1 million and received approximately $680,000 in payments for those claims.



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