SANTA ANA, California – A previous Orange County chiropractor was sentenced nowadays to 70 months in federal jail for thieving from overall health insurers by fraudulently creating the submission of $2.2 million in billings for chiropractic expert services under no circumstances offered, medical diagnoses in no way presented, office environment visits that in no way happened, and clinical products that had been falsely approved.
Susan H. Poon, 57, of Dana Position, was sentenced by United States District Judge David O. Carter, who purchased her to pay out $1,379,622 in restitution to her victims.
At the summary of a 5-working day trial in June 2021, a federal jury located Poon guilty of five counts of wellness care fraud, three counts of generating phony statements relating to overall health treatment matters, and a single rely of aggravated identity theft.
From January 2015 to April 2018, Poon, whose business office was in Rancho Santa Margarita, schemed to defraud health insurance organizations by publishing bogus reimbursement claims for companies that have been in no way performed.
Poon also submitted fraudulent prescriptions containing health-related diagnoses of people that she had never ever achieved, which includes toddlers and young children, which led a health care system maker to post fake promises for reimbursement to one health insurance company.
The sufferers that Poon claimed to have achieved with and treated ended up dependents – this sort of as the spouses and little ones – of Costco Wholesale Corp. and United Parcel Services Inc. workforce. Poon unlawfully took and utilised the dependent’s personalized identifying info (PII) in her reimbursement requests and prescriptions. Poon attained the PII by attending health fairs at various UPS warehouses and Costco locations and soliciting these kinds of details from workforce.
“[Poon’s] scheme consisted of interdependent moving sections,” prosecutors wrote in a sentencing memorandum. “She lied about visits with, diagnoses of, and solutions supplied to real people today and their children. She sent fraudulent Tough Healthcare Equipment (DME) prescriptions – predicated on visits with these clients that hardly ever occurred – to a DME manufacturer. And she fabricated clinical documentation that contains the personalized determining information of these ‘ghost’ patients to mislead an auditor.”
In total, Poon billed and triggered to be billed somewhere around $2.2 million by her scheme.
Poon’s chiropractic license was revoked in July 2019, in accordance to the California Office of Purchaser Affairs.
The next businesses investigated this make any difference: Amtrak – Business office of the Inspector Basic, California Division of Insurance, U.S. Section of Labor – Staff Rewards Security Administration, U.S. Department of Labor Business of the Inspector Common, the FBI, and Business office of Staff Management – Office of the Inspector Basic.
Assistant United States Attorneys Daniel S. Lim and Daniel H. Ahn of the Santa Ana Branch Place of work prosecuted this scenario.