Saturday, January 29, 2011

Medical Identity Theft by Pharmacy Employee Results in 2 Year Jail Sentence

On January 25, 2011, a former pharmacy benefits analyst was convicted of health care fraud and sentenced to 24-month in prison, four-years of supervised release, and $24,679.48 in restitution to Medicaid and Presbyterian Health Care Services (PHS).
The defendant had "no job reason" to enter the company's computer database to generate checks using the personally identifiable information (PII) of patients.
Between May 2008 and June 2008, the PHS pharmacy employee created fraudulent checks with the names and member IDs of legitimate PHS customers. She then changed the payee name to that of her friends and relatives who cashed the checks and turned the proceeds over to her.
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Sources:
(a) Albuquerque woman receives 24-month prison sentence for identity theft and health care fraud conviction - U.S. Department of Justice, January 25, 2011
(b) United States Of America, Vs.Christine Horning, Indictment - U.S. Department of Justice, April 14, 2010

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