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Crime Texas woman convicted in $5.5M health care fraud scheme, DOJ says

14:35  14 december  2019
14:35  14 december  2019 Source:   foxnews.com

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A Texas woman was convicted Friday on six counts of health care fraud in connection with a $ 5 . 5 million federal workers’ compensation overbilling scheme One complaint said Sumerour and Morgan “submitted and/or taught others to submit” false health care claims between January 2011 and March

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A Texas woman was convicted Friday on six counts of health care fraud in connection with a $5.5 million federal workers’ compensation overbilling scheme, U.S. Justice Department officials said.

WASHINGTON, USA - MAY 29: U.S. Department of Justice building is seen in Washington, United States on May 29, 2019.   (Photo by Yasin Ozturk/Anadolu Agency/Getty Images)© Yasin Ozturk/Anadolu Agency/Getty Images WASHINGTON, USA - MAY 29: U.S. Department of Justice building is seen in Washington, United States on May 29, 2019. (Photo by Yasin Ozturk/Anadolu Agency/Getty Images)

Melissa Sumerour, 48, of Lorena, was found guilty by a federal jury following a five-day trial, DOJ officials said in a statement.

Sumerour and co-defendant Latosha Morgan, 42, of Grand Prairie, billed the Department of Labor’s Office of Workers Compensation for more physical therapy work than was actually provided, officials said. Morgan has pleaded guilty and is scheduled for sentencing in March 2020.

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Dubor owned and operated Care Committers Health Services home health agency in Richmond. During the three-day trial, the jury heard evidence that Dubor faces up 10 years in federal prison for each count of health care fraud and up to five years for conspiracy to violate the anti-kickback statute.

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Both women worked for Dr. Les Benson, a physician who played pro football for the Dallas Cowboys in the 1970s, KWTX-TV of Waco reported in October 2018. That story said Benson had been indicted twice in connection with the case, which dates back to 2011, but Friday’s DOJ statement makes no mention of him so his current status was unclear.

An affidavit reviewed by KWTX in 2018 said Sumerour and Morgan worked as billing clerks for “Physician A,” whom sources told the station was Benson.

Criminal complaints stated that Physician A “incentivized Melissa Sumerour and Latosha Morgan to maximize billing by offering a bonus if their respective clinics billed over $50,000 in a week.”

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Office, Special Agent in Charge John F. Khin of the Department of Defense Office of Inspector General – Defense Criminal Investigative Service After a four-day trial, Stephen Chalker, 42, of Wellington, Florida, was convicted of one count of conspiracy to commit health care fraud and two substantive

today of health care fraud , and one physician and one nurse guilty of conspiracy to commit health care Field Office and Director of Law Enforcement David Maxwell of the Texas Attorney General’s unnecessary home health services and falsifying medical records to hide their crimes,” said Acting

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One complaint said Sumerour and Morgan “submitted and/or taught others to submit” false health care claims between January 2011 and March 2017, KWTX reported.

Since its creation in March 2007, the DOJ’s Medicare Fraud Strike Force has charged more than 4,200 defendants who had billed the Medicare program for nearly $19 billion, the DOJ statement said.

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