$487,000 Health Care Fraud - I
August 21, 2009
Changing tax ID numbers on legitimate health care providers to others who are not health care providers allowed for more than $480,000 in fraud of a major company. FBI Special Agent Steve Holderman in South Carolina investigated.
Mr. Schiff: Changing tax ID numbers on legitimate health care providers to others who are not health care providers allowed for more than $480,000 in fraud of a major company. FBI Special Agent Steve Holderman in South Carolina investigated.
Mr. Holderman: "We were referred information from compliance investigators of the company indicating that two employees were diverting worker’s compensation checks.”
Mr. Schiff: Holderman says he and his partner began digging into the case and interviewed the two employees.
Mr. Holderman: "Witnesses at the company were interviewed and all the claim checks were traced to various P.O. boxes and addresses in Georgia and North Carolina.”
Mr. Schiff: Holderman says that eventually pictures of people cashing the checks were taken.
Mr. Holderman: "Bank surveillance photos were obtained of the subjects subsequently negotiating these checks.”
Mr. Schiff: Holderman says the tax ID numbers were changed to those of a phony company. The two subjects pleaded guilty to workers’ compensation fraud and were sentenced to 13 months in prison. I’m Neal Schiff of the Bureau, and that’s the FBI’s Closed Case of the Week.
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