A Chicago woman charged with conspiring to defraud Medicare was convicted by a federal grand jury last week.
Federal prosecutors say the 42-year-old woman was part of a larger scheme involving the two owners of a Chicago home health company. They say she worked as the owners’ assistant, making her the third person of the conspiracy.
Investigators say she helped in the conspiracy by forging patient notes and other secondary paperwork for submission with claims to Medicare for reimbursement. The procedures for which the defendant helped bill Medicare were either medically unnecessary or were never rendered.
Additionally, prosecutors say she was fully aware that the owners were making cash payments to patients, which is in violation of federal law.
At the conclusion of a four-day trial, a federal jury found the defendant was found guilty of one count of conspiracy to commit health care fraud and wire fraud. She is scheduled to be sentenced this fall.
Four people have been charged for their alleged participation in the conspiracy, which prosecutors say totaled about $7 million in claims from 2011 to 2017. Both owners pleaded guilty to conspiracy to commit health care fraud and wire fraud last month, while a former nurse pleaded guilty to one count of conspiracy to commit health care fraud. All three are awaiting sentencing.
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