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Wiggins Abduljaber Indictment

Wiggins Abduljaber Indictment

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Published by LansingStateJournal
A Lansing doctor and her husband have been indicted on federal charges including health care fraud, tax fraud and illegal distribution of narcotics, court documents show.

Dr. Shannon Wiggins and her husband, Mohamad Abduljaber, were indicted last week in U.S. District Court in Grand Rapids.

Read the full story at http://www.lansingstatejournal.com/article/20130828/NEWS01/308280083/Lansing-doctor-husband-indicted-health-care-fraud-conspiracy
A Lansing doctor and her husband have been indicted on federal charges including health care fraud, tax fraud and illegal distribution of narcotics, court documents show.

Dr. Shannon Wiggins and her husband, Mohamad Abduljaber, were indicted last week in U.S. District Court in Grand Rapids.

Read the full story at http://www.lansingstatejournal.com/article/20130828/NEWS01/308280083/Lansing-doctor-husband-indicted-health-care-fraud-conspiracy

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Published by: LansingStateJournal on Aug 28, 2013
Copyright:Attribution Non-commercial

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10/06/2014

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UNITED STATES DISTRICT COURTWESTERN DISTRICT OF MICHIGANSOUTHERN DIVISIONUNITED STATES OF AMERICA,Plaintiff,v.SHANNON WIGGINS, D.O.,andMOHAMAD ABDULJABER,Defendants.
INDICTMENT
 _______________________________/The Grand Jury charges:
GENERAL ALLEGATIONS
At all times relevant to this Indictment:1.Medicare is a federally-funded program administered by the Centers for Medicareand Medicaid Services (“CMS”), a federal agency within the United States Department of Healthand Human Services. Medicare provides health insurance for, among others, persons aged 65and older, certain younger people with disabilities, and people with end-stage renal disease.Individuals who receive benefits under Medicare are referred to as Medicare beneficiaries.Medicare is a “health care benefit program,” as defined by Title 18, United States Code, Section24(b) and a “Federal health care program,” as defined by Title 42, United States Code, Section1320a-7b(f).2.The Medicare Program includes coverage under two primary components,hospital insurance (Part A) and medical insurance (Part B). Part A of the Medicare Program
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covers, among other services, certain eligible home health care costs for medical services provided to beneficiaries because of an illness or disability that causes them to be homebound.Part B of the Medicare Program covers the costs of physicians’ services and other ancillaryservices not covered by Part A. Wisconsin Physicians Service (“WPS”) is a company thatcontracts with CMS to process and pay Part A and Part B claims.3.Payments under the Medicare Program are often made directly to the provider of the goods or services, rather than to the beneficiary.This direct payment occurs when the provider submits claims to Medicare for payment, either directly or through a billing company.4.Physicians, clinics, and other health care providers are able to apply for andobtain a Medicare “provider number.” A health care provider who is issued a Medicare provider number is able to file claims with Medicare to obtain reimbursement for services provided toMedicare beneficiaries. A valid Medicare claim must set forth, among other things, the beneficiary’s name, the date the service was provided, the cost of the service, and the name andidentification number of the physician or health care provider who ordered the service.5.Medicaid is a federally-assisted grant program for the states.CMS administersthe federal assistance to Medicaid. At the state level in Michigan, the Department of CommunityHealth, Medical Services Administration, an agency of the State of Michigan, administersMedicaid. Medicaid provides health insurance to Michigan residents who are indigent or otherwise do not have traditional insurance coverage. Physicians, clinics, and other health care providers are able to apply for and obtain a Medicaid “provider number.” A health care provider who is issued a Medicaid provider number is able to file claims with Medicaid to obtainreimbursement for services provided to Medicaid beneficiaries. A valid Medicaid claim must setforth, among other things, the beneficiary’s name, the date the service was provided, the cost of 
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the service, and the name and identification number of the physician or health care provider whoordered the service. Medicaid is a “health care benefit program,” as defined by Title 18, UnitedStates Code, Section 24(b) and a “Federal health care program,” as defined by Title 42, UnitedStates Code, Section 1320a-7b(f).6.Blue Cross Blue Shield of Michigan (“BCBSM”)is a health care benefit program,as defined in Title 18, U.S.C., Section 24(b), in that itisa private insurance program, affectingcommerce, which providescoverage for eligible costs for servicesprovided to its subscribersthroughout the United States.7.As a condition of payment, Medicare, Michigan Medicaid, and BCBSM requirethat the services submitted for payment are medically indicated and necessary for the health of the patient.8.SHANNON WIGGINS, D.O.,(“WIGGINS”)is a physician licensed to practicemedicine in the State of Michigan. WIGGINS’spractice, East Michigan Family Care(“EMFC”),occupied two office buildings located at 2310 E. Michigan Avenue and 4415 GrandRiver, in Lansing, Michigan.9.MOHAMAD ABDULJABER (“ABDULJABER”)is married toWIGGINSandacts as theoffice manager of EMFC.
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