CEO Pleads Guilty to $1.8 Million Medicare Scheme

Crime-Feature[dropcap]T[/dropcap]he chief executive of Chicago-based Mobile Doctors pleaded guilty to insurance fraud charges last Friday.

Dike Ajiri, 44, of Wilmette, admitted in a plea agreement he personally altered patient files so that the now-defunct company could fraudulently bill several patient visits to Medicare at the highest possible level. The scheme, known as “upcoding,” defrauded Medicare and the Railroad Retirement Board of approximately $1,854,000, according to the F.B.I.

He faces a maximum sentence of 10 years in prison when U.S. District Judge John J. Tharp Jr. sentences him next April. Mobile Doctors, located at 3319 N. Elston Ave., closed after Ajiri was arrested in 2013.

Ajiri personally altered Mobile Doctors’ billing forms and instructed Mobile Doctors’ personnel to do the same. The investigation also resulted in charges against Banio Koroma, a Mobile Doctors physician, who is alleged to have falsely certified patients as confined to their homes when they were not actually homebound and did not require specialized care.

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