John Thoen, a 53-year-old former registered nurse who took part in a health care scheme that involved Health Care Solutions Network Inc. (HCSN), has been sentenced to 111 months in prison.
According to the US Department of Justice, the scheme caused losses of around $63 million (47 million EUR).
Authorities say that HCSN purported to provide partial hospitalization program (PHP) services to individuals suffering from mental illness. The organization convinced Medicare beneficiaries to attend HCSN for PHP treatment.
However, in many cases, the treatment was not necessary or it wasn’t provided at all.
Thoen admitted that he took part in the admission of patients who were ineligible for PHP services. In addition, he participated in fabricating medical records to support fraudulent billing to government health care benefit programs.
The man also admitted to be involved in a money laundering scheme.
A total of 15 individuals have been charged for their alleged involvement in the HCSN scheme, nine of whom have already pleaded guilty.