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Christopher DiFilippo, Health Care Fraud, California 2018

A California man has been ordered to serve 18 months in prison for submitting false billings to health care insurers. Christopher DiFilippo, aka “Kip,” 40, of Bakersville, Ca., was also ordered to pay restitution in the amount of $514,297 to various health care insurers.

DiFilippo was ordered to serve three years of supervised release following his release from prison, the first year of which shall be served as home confinement. He was ordered to self-report to the federal Bureau of Prisons within 60 days.

The scheme took place over a five-year period from 2012 to 2017, while DiFilippo was running his own counseling company, KD Counseling. He became a licensed clinical social worker in 2009 and started the company in early 2012.

DiFilippo counseled patients mostly on weekends or in the evening at his home in Mahomet, Illinois, until he moved to Texas in 2015, and later Florissant, Missouri. Some counseling was done by phone or over Skype.

Assistant U.S. Attorney Gregory M. Gilmore represented the government at sentencing. The FBI and U.S. Postal Service, Office of Inspector General, conducted the investigation with the U.S. Department of Labor, OIG, Chicago Division and the Office of Personnel Management, OIG, Chicago division.

Special investigative units of Blue Cross Blue Shield of Illinois and Health Alliance Medical Plans provided special assistance in the investigation. DiFilippo waived indictment and plead guilty to an information that charged him with one count of health care fraud on May 11, 2018.

DiFilippo’s actions resulted in significant financial losses for the health care insurers, which have now been ordered to be reimbursed through the restitution payment.

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