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| | Medical Provider Offers Clients Pilates, Then Bills Insurance Companies For Expensive Diagnostic Services. Medical Billing Fraud Worth $77,237 Results In Jury Conviction And A Two-Year Jail Sentence.
By Press Release - California Department of Insurance - November 13, 2014
LOS ANGELES, Calif. – Lisa Maria Henschel, 50, was convicted by a jury of 32 felony counts of insurance fraud in connection to $77,237 in bogus billings associated with her previous business, Silverlake Hills Health Center. Now out of business, Silverlake Hills Health had been located at 2457 Hyperion Ave, Los Angeles, CA 90027.
Henschel was arrested on June 26, 2009 for 76 counts of insurance fraud and grand theft.
“Every California consumer pays for insurance fraud, but these crimes are more egregious when committed by a medical provider for their own personal profit,” said Insurance Commissioner Dave Jones.
Detectives with the California Department of Insurance discovered that during this medical billing scam, customers of Silverlake Hills Health Center received alternative medical care, such as chiropractic care, acupuncture, and Pilates that were not covered by insurance. Henschel altered the billing codes to reflect expensive diagnostic codes that would typically be accepted by automated claim processing systems. Henschel also forged the signature of a doctor, not connected to her business at the time, on the billing forms to give them the appearance of legitimate claims. Despite the fact that she was traveling out of the country, Henschel listed herself as a patient of the health center. She then accumulated hundreds of invoices, for which many covered the same time period she fraudulently claimed she was in Los Angeles receiving treatment.
Henschel received a sentence of two years in Los Angeles county jail and four years of probation. This case was prosecuted by the Los Angeles County District Attorney’s Office.
A show-cause hearing is scheduled for Friday, November 21, 2014 to finalize the restitution amount owed by Henschel.
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News information extracted from Press Release and other notes from California Department of Insurance dated November 13th 2014
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