Medicaid Fraud Unit stops a scam as pair is convicted and sentenced on multiple counts of health care fraud
Attorney General John Kroger today announced the conviction and sentencing of Linda Sue Bogle and Kathryn Loucille Curtis on numerous felony charges for a three-year healthcare fraud scam that cost the state Medicaid program $59,251.
"Preventing health care fraud is a major priority," said Attorney General Kroger. "We will continue to work hard every day to aggressively investigate and prosecute healthcare fraud whenever and wherever we uncover it."
The scam by Curtis and Bogle involved false claims for Medicaid payments based on phony disabilities. Curtis claimed severe disabilities-the inability to drive, dress, bathe, cook or walk without assistance. Bogle received Medicaid funds to care for Curtis through the Oregon Home Healthcare Provider Program. In early 2008, a case manager learned that Curtis was booked into the Klamath County Jail on an unrelated charge. The case manager called the jail to ensure that Curtis was receiving proper medical assistance, but learned that she was housed in general population, taking care of herself and required no assistance.
Armed with this information, the case manager contacted the Oregon Department of Justice's Medicaid Fraud Unit, which launched an investigation.
Department of Justice surveillance determined that Curtis was in good health - she could walk, drive and did not need any care. In fact, the only time Curtis and Bogle met was to sign fraudulent vouchers and split the monthly Medicaid payments that Bogle received as caretaker.
Curtis was found guilty in the Marion County Circuit Court of five counts of First Degree Theft and one count of Making a False Claim for Health Care Payment and was sentenced today to serve 1 year in jail. She also was ordered to pay $59,251 to the state Medicaid program and placed on an extended five-year probation. If she fails any condition of her probation, including the payment of restitution, she would receive an additional 13-month prison sentence.
Bogle pled guilty on October 16, 2008, to five counts of First Degree Theft and was ordered to perform 480 hours of community service and placed on five years probation. She is also jointly liable for repaying the $59,251 to the Medicaid program. Bogle agreed she would spend 13 months in prison for failing to satisfy any condition of her probation.
Attorney in Charge Rodney Hopkinson, director of the Medicaid Fraud Unit, prosecuted the case.
The Oregon Department of Justice is a national leader in cracking down on health care fraud, recovering more than $19 million for Oregon the Oregon Health Plan and Oregon consumers since 2008. In addition to their work in Oregon, the Medicaid Fraud Control Unit recently helped lead a team that reached a $2.3 billion national settlement with Pfizer, the largest health care fraud settlement in history.
Attorney General John Kroger leads the Oregon Department of Justice. The Department's mission is to fight crime and fraud, protect the environment, improve child welfare, and defend the rights of all Oregonians.
Tony Green, (503) 378-6002 email@example.com