Two men from Georgia were sentenced Monday for orchestrating a massive health care fraud scheme that submitted over $522 million in fraudulent claims to Medicare and Medicaid. Reyad Salahaldeen and Mohamad Mustafa used illegal kickbacks and bribes to obtain genetic tests that were not medically necessary, according to the Department of Justice.
Reyad Salahaldeen, 57, of Buford, was sentenced to 151 months in prison after pleading guilty to conspiracy to commit health care fraud and wire fraud. Mohamad Mustafa, 28, of Duluth, was sentenced to three years in prison for paying health care kickbacks.
Between 2018 and August 2020, the men controlled labs in Georgia, New Jersey, and Texas to bill for tests designed to predict cancer risks and drug reactions. According to court records, the group targeted patients through telemarketing and…
HOW TO SPOT A “RED FLAG” (THE BEHAVIORAL AUDIT)
Keep an eye out for these behavioral shifts in your staff:
Refusal to take leave: Afraid someone will find their “adjustments.”
Unexplained wealth: Buying luxury items that don’t match their known salary.
Working odd hours: Preferring to work alone late at night when no one is watching the system.
“Gatekeeper” behavior: Becoming overly defensive or angry when someone asks to see their records.