Corporate Compliance

NJ man pleads guilty to healthcare fraud

Compliance Monitor, February 6, 2008

A New Jersey man admitted to defrauding insurance companies of more than $2.5 million through a false billing scheme, according to an FBI press release.

Boris Sokha confessed to running several medical management companies that submitted hundreds of false bills to insurance companies in several states. Sokha and a co-conspirator helped licensed psychiatrists create medical corporations that existed only on paper. Sokha then hired individuals without a medical license to provide psychotherapy.

Sokha and his co-conspirator defrauded the insurance companies by fraudulently billing them for services and treatments that were not provided to patients. In addition, they falsely claimed that psychotherapy sessions were provided by licensed doctors or under the supervision of licensed doctors.

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