Medicare fraud charges filed against health care CEO
Bibliographic record
Abstract
Thanks to an undercover informant who posed as an old man in need of in-home care, the boss of a home health care company's now accused of bilking Medicare out of $1.2 million. The chief executive of Home Physician Services, Henry Smilie of Lake Zurich, has been charged with federal Medicare fraud. Federal agents have searched the company's offices in Chicago and Schaumburg. The undercover source posed as a 71-year-old man who received visits from doctors and nurses, even though theysaw him walk down the street and talk repeatedly about visiting his grandkids. Yet the company certified him as homebound in bills sent to Medicare and continued house calls to him, according to the charges. The Tribune says former employees described how the company billed Medicare for services not fully performed, or for unnecessary services. One ex-employee said Home Physician Services directed staff to bill Medicare for the maximum amount, even if the services provided did not justify the cost. According to the complaint that same employee also told agents he saw Smilie rubber stamp doctors' signatures to create orders. When the man told Smilie that practice may be illegal, he laughed and said some of the company's other practices also were against the law. If convicted, Smilie could get up to ten years in prison and have to pay a quarter million dollars in fines.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.001 |
| Meta-epidemiology (narrow) | 0.003 | 0.003 |
| Meta-epidemiology (broad) | 0.003 | 0.001 |
| Bibliometrics | 0.003 | 0.000 |
| Science and technology studies | 0.000 | 0.002 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.005 | 0.003 |
| Research integrity | 0.001 | 0.003 |
| Insufficient payload (model declined to judge) | 0.035 | 0.056 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; both teacher heads agree on what is shown here.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".