SANTA ANA, Orange County -Orange County Superior Court Judge Today sentenced a woman of Costa Mesa to 10 years in prison for her conviction of $154 million medical insurance fraud. It is believed to be the largest medical insurance fraud prosecution in the nation.
Sue Nanda, 40, of Costa Mesa, was convicted of 22 counts of felonies in Feb, 2009 for working as a "capper,'' or "marketer" under Unity Outpatient Surgery Center in Buena Park by recruiting 310 patients to have unnecessary surgeries.
Nanda had made $2.35 million profit from 2001 to 2004 for providing her service to doctors by selling the surgeries to patients and persuading them to undergo unnecessary surgical procedures in exchange for money.
It's the largest medical fraud in Orange County and the nation. Deputy District Attorney in this case asked the Judge to give her a sentencing of 20 years in prison.
Nanda's criminal defense lawyer, E. Thomas Dunn, argued that she was not aware of her activities were illegal and she was used by other people, thus she should be given a probation.
This Insurance Fraud case also involves the charges against three doctors, a lawyer and eight other "cappers". The alleged doctor, William Hampton Jr., was sentenced to 16 years in prison.
The sentencing for the other defendants, Dr. Michael C. Chan and Dr. Mario Z. Rosenberg is still pending.
Under California criminal Law, Medical fraud defines as paying / receiving kickbacks for Medi-Cal billing referrals.
Medical fraud is serious crime. Health insurance data shows that about 3% - 10% of Medicaid budget every year was wasted due to medical fraud. California's Medi-Cal losses can reach billions of dollars annually.
According to criminal Penal code section: Individuals receiving or encouraging another to receive health care could be convicted of either a Felony or misdemeanor, depending on amount of fraud.
The charges for soliciting or receiving medical kickback or bribe can be either a Misdemeanor or felony depends on the individual case.
How to get an Orange County Criminal Lawyer to work for you on a Medical Fraud Charge ?
At Law Offices of Michael L. Guisti, our skilled Orange County criminal defense attorneys and medical fraud attorney understand the complexity of the law and health care related and Medical insurance regulations.
Our criminal attorney Michael Guisti has the over decades of experience of represending medical and health care insurance fraud cases. He is knowledgeable and skilled in defending clients accused of the medical fraud and protecting their rights.
If you or someone you know have committed or been arrested for medical fraud or insurance fraud, you need to contact our Orange County criminal attorneys as soon as possible. Our attorneys represent clients in Orange county, Los Angeles, Riverside and San Diego, California. Please contact us at 714-530-9690 or visit us at www.topcalifornialawyer.com for more information.
