Thursday, October 29, 2020

U.S Veteran Affairs official jailed for 16 years over $19 million health care fraud

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A U.S. Department of Veterans Affairs (VA) employee has been sentenced to 16 years in federal prison for orchestrating a $19 million scheme that consisted of “health care fraud, conspiracy, payment of illegal kickbacks and gratuities, money laundering, and conflict of interest charges,” according to the U.S. Attorney’s Office.

Joseph Prince, 61, had worked as a Case Management Liason for the VA’s Spina Bifida (SB) Health Care Benefits program. Spina bifida (SB) itself is a medical condition that affects a person’s spine, one that can cause “physical and intellectual disabilities,” according to the Centers for Disease Control and Prevention.

The program that Prince worked with was designed to cover the medical health needs of children with spina bifida who were born to veterans of the Korea and Vietnam wars.

“Acting as a subject matter expert working in a Denver call center, Prince spoke with health care providers and SB beneficiaries or their families regarding their health care needs and reimbursement for care under the program,” according to a press release from the U.S. Attorney’s Office.

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The U.S. Attorney’s Office says that Prince invented a fictional VA home health program and recruited friends and family members to open “home health agencies”, despite how they lacked “necessary medical licenses or credentials to bill the VA for SB beneficiaries’ home health services.”

Those families and friends were then signed up as contractors as “vetted” home health agencies, according to the U.S. Attorney’s Office. Price then directed the completion and submission of inflated claims from those unlicensed and unapproved companies.

“The defendant stole from taxpayers and from a program designed to help those who served our nation,” said U.S. Attorney Jason R. Dunn. “The defendant will be spending a substantial amount of time in prison because of his fraudulent behavior.”

Price was found guilty by a trial jury on March 12. According to the press release, Roland Vaughn, Glenn Beacha nd Catherine Beach also pleaded guilty for paying illegal gratuities to a public official.

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