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Health Care Fraud Lands South Jersey Doctor 2 Years in Prison
TRENTON, N.J. – Lori Reaves, 52, of Waterford Works, N.J., was sentenced to 24 months in prison for charging lengthy visits to elderly patients that they did not receive, U.S. Attorney Paul J. Fishman announced.
Reaves, the owner and founder of Visiting Physicians of South Jersey (VPA), previously pleaded guilty before U.S. District Judge Freda L. Wolfson to an information charging her with one count of health care fraud.
According to documents filed in this case and statements made in court, Reaves admitted lying in Medicare billings about the amount of face-to-face time she spent with patients, leading to her receiving at least $511,068 in criminal profits.
Reaves was the highest billing home care provider among the more than 24,000 doctors in New Jersey from Jan. 1, 2008, through Oct. 14, 2011. As part of her responsibilities at VPA, Reaves was responsible for Medicare billings as a Medicare-approved provider.
Reaves submitted forms that falsely claimed she had provided prolonged service visits to her patients in order to induce Medicare to make payments to her that were significantly higher than the payments she should have received.
She was also sentenced to three years of supervised release and ordered to forfeit $511,068, pay restitution of $511,068, and pay a fine of $5,000.
U.S. Attorney Fishman credited special agents of the FBI in Newark, under the direction of Special Agent in Charge Aaron T. Ford, and special agents of the Department of Health and Human Services, Office of Inspector General, under the direction of Special Agent in Charge Tom F. O’Donnell of the New York Regional Office, with the investigation leading to today’s sentence.
Key Facts
- State: New Jersey
- Category: White Collar Crime
- Source: DOJ Press Release â†â€â€
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