A Texas woman has been sentenced to 18 months in prison for her role in a $5.5 million scheme to overbill the U.S. Department of Labor Office of Workers’ Compensation Program for physical therapy and other services.
Melissa Sumerour, 49, of Lorena, Texas, was sentenced by U.S. District Judge Karen Gren Scholer of the Northern District of Texas to 18 months in prison followed by three years of supervised release. After a trial in December 2019, Sumerour was convicted of six counts of health care fraud.
According to evidence presented at trial, from approximately January 2011 to March 2017, Sumerour engaged in a scheme to defraud the DOL’s Office of Workers’ Compensation Program by overbilling for physical therapy. The evidence established that the fraud, in which Sumerour billed for more physical therapy than was provided, cost the Office of Workers’ Compensation Program in excess of $5.5 million.
This case was investigated by the DOJ-OIG, DOL-OIG, USPS-OIG, VA-OIG, and Army CID-MPFU. Trial Attorneys Brynn Schiess and Amy Markopoulos of the Criminal Division’s Fraud Section are prosecuting the case.
The Medicare Fraud Strike Force leads the Fraud Section. Since its inception in March 2007, the Medicare Fraud Strike Force, which maintains 15 strike forces operating in 24 districts, has charged more than 4,200 defendants who have collectively billed the Medicare program for nearly $19 billion.
Latosha Morgan, 42, of Grand Prairie, Texas, pleaded guilty and is awaiting sentencing for her role in the scheme. Sumerour’s sentencing marks the latest development in the investigation into the $5.5 million workers’ compensation scam.
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Key Facts
- State: Texas
- Category: White Collar Crime
- Source: DOJ Press Release â†â€â€
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