Crime & Safety

FBI: DC Woman Pleads Guilty to Health Care Fraud

Sold counterfeit documents to would-be home health care aides.

A DC woman has pleaded guilty to health care fraud, according to a news release from the FBI.

Adoshia L. Flythe, 36, of Washington, D.C., pled guilty late last week to a federal charge of health care fraud following an undercover investigation into the sale of counterfeit health certificates to people seeking jobs in the home health care industry.

Flythe is scheduled to be sentenced Sept. 4, and faces jail time and fines.

Flythe, a personal care aide, was one of 24 people—including operators of home care agencies and nurse staffing agencies, office workers, and personal care aides—arrested in late February 2014, following investigations into fraudulent billing practices in the home health care industry. The investigations uncovered numerous, separate schemes involving fraud, kickbacks, and false billings in the growing field of home care services for District of Columbia Medicaid patients. She is the first defendant to plead guilty in the various schemes.

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The home health care industry includes services intended to assist people in performing the activities of daily living, such as getting in and out of bed, bathing, dressing, taking medication, and other needs. Such services are provided by personal care aides, who often work for home care agencies and nurse staffing agencies. In order to be reimbursed by D.C. Medicaid, the personal care aides performing the services had to have documentation showing that they meet numerous qualifications as set forth by D.C. regulations.

In her guilty plea, Flythe admitted selling packages of counterfeit documentation to two individuals, charging them $350 apiece. 

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The fraudulent documents Flythe sold included a counterfeit “Home Health Care Aide” certificate from the University of the District of Columbia and a counterfeit “Health Certificate for Staff” that contained the forged name and signature of at least one doctor. 

The two individuals who purchased the documents from Flythe purportedly wanted to apply for employment with a home care agency and to cause Medicaid to be billed for personal care services, when actually they were working as part of the undercover investigation.


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