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Woman Pleads Guilty for Role in Medicare Fraud Scheme

January 31, 2014

On January 24, 2014, Margarita M. Grishkoff pleaded guilty to conspiracy to commit health care fraud according to a DoJ press release.  Allegedly, Grishkoff and her co-conspirators purchased comprehensive outpatient rehabilitation facilities and outpatient physical therapy providers throughout Florida and elsewhere using a Delaware holding company known as Ulysses Acquisitions Inc.  Grishkoff and her co-conspirators obtained identifying information of Medicare beneficiaries and physicians and used the information to create and submit false claims for therapy services that were not legitimately prescribed and not actually performed.  It has been further alleged that Grishkoff and her co-conspirators paid kickbacks to owners of other therapy clinics that submitted false reimbursement claims to Medicare on their behalf.

From 2005 to 2009, Grishkoff and her co-conspirators submitted approximately $28.3 million in fraudulent reimbursement claims to Medicare.  Medicare paid approximately $14.4 million on those claims.  Grishkoff faces up to 10 years in prison for her involvement in the Medicare fraud scheme.

To report Medicare fraud, please contact Frohsin & Barger.

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