November 6, 2017
Las Vegas, NV – Nevada Attorney General Adam Paul Laxalt announced that Babak Razzaghi-Shishavan, 39, of Las Vegas, was sentenced today in a Medicaid fraud case involving the failure to maintain proper documentation for services provided to a Medicaid recipient.
Babak was sentenced for a gross misdemeanor offense of Intentional Failure to Maintain Adequate Records by District Court Judge Stefany Miley. Judge Miley sentenced Babak to 180 days incarceration, suspended, 100 hours of community service and payment of $11,324.00 in restitution. Babak was placed on 3 years probation. The fraud occurred between February 2016 and December 2016.
“These convictions ensure that Medicaid recipients who receive much needed services in their homes are actually getting those services,” said Laxalt.
The investigation began after the Medicaid Fraud Control Unit (MFCU) received information that Babak was not providing personal care services to a Medicaid recipient. The investigation revealed that Babak did knowingly create fictitious documentation, including progress notes, for services allegedly provided to the Medicaid recipient. Babak then submitted the false documentation to his employer, Addus Health Care, Inc. The documentation prepared by Babak, and used to substantiate Medicaid claims, was false as many of Babak’s records did not note the actual dates, times or services provided to the Medicaid recipient.
The MFCU investigates and prosecutes financial fraud by those providing healthcare services or goods to Medicaid patients. The MFCU also investigates and prosecutes instances of elder abuse or neglect. Persons convicted of Medicaid fraud may also be administratively excluded from future Medicaid and Medicare participation. Anyone wishing to report suspicions regarding any of these concerns may contact the MFCU at 702-486-3420 or 775-684-1100.
The case was prosecuted by Andrew Schulke, Supervising Senior Deputy Attorney General.
(Photo courtesy of the
Las Vegas Metropolitan Police Department)