Home health president convicted in $1.6M Medicare and bank fraud scheme

The former president of a home healthcare company has pleaded guilty to federal charges of healthcare and bank fraud resulting from a scheme involving stolen Medicare funds. 

According to prosecutors, Ester Mbaya, the former president of Cool Waters, a Pennsylvania-based home health agency, stole over $1 million from the federal government, in addition to approximately $585,00 from three different banks. 

Court filings claimed that in 2020, during the COVID-19 pandemic, Mbaya would bill Medicare for reimbursement for care that was not actually provided. Further, she falsified documents and payroll records to cover her tracks and balance her internal ledger. 

Additionally, Mbaya was accused of applying for lines of credit using bogus financial records. Three different banks lost money as a result of the fraud, which occurred a year after Mbaya stepped down as Cool Waters president in June 2020. 

Cool Waters was acquired by another home care company, AmeriBest, also headquartered in Pennsylvania.  

Rather than taking her chances at trial, Mbaya admitted to the charges brought by the U.S. Department of Justice. She could face up to 40 years behind bars if given the maximum penalty, along with a $1.25 million fine.

Cool Waters appears to still be in business and operating home care services in Harrisburg.

Chad Van Alstin Health Imaging Health Exec

Chad is an award-winning writer and editor with over 15 years of experience working in media. He has a decade-long professional background in healthcare, working as a writer and in public relations.

Around the web

The American College of Cardiology has shared its perspective on new CMS payment policies, highlighting revenue concerns while providing key details for cardiologists and other cardiology professionals. 

As debate simmers over how best to regulate AI, experts continue to offer guidance on where to start, how to proceed and what to emphasize. A new resource models its recommendations on what its authors call the “SETO Loop.”

FDA Commissioner Robert Califf, MD, said the clinical community needs to combat health misinformation at a grassroots level. He warned that patients are immersed in a "sea of misinformation without a compass."

Trimed Popup
Trimed Popup