DAUGHTER BILLED MEDICAID FOR HEALTH SERVICES PROVIDED TO DEAD FATHER

DENVER—Colorado Attorney General John Suthers announced the criminal conviction today of Viola Kwong (52) for felony forgery. Kwong had requested services for her elderly father through a Medicaid program that allows a Medicaid client to direct his or her own home-based, personal healthcare when able. In this case, Kwong’s father was too infirm to direct his own care and Medicaid authorized Kwong as his personal representative in obtaining those services. While her father died on July 23, 2010, Kwong continued to submit numerous fraudulent documents to Medicaid reflecting personal healthcare services provided to her father through November 8, 2010.

“This case, and particularly the restitution ordered, represent another significant recovery for Colorado’s Medicaid program” said Suthers. “Viola Kwong submitted invoices requesting payment from Medicaid despite the fact that her father had been deceased for four months.”

Kwong entered her plea of guilty today in Denver District Court and was sentenced to pay $16,000 in criminal restitution and perform 50 hours of public service. She was also placed on supervised probation for four years and will pay all court costs and probation supervision fees. In addition, Kwong agreed to pay a civil penalty of more than $37,000 to the Colorado Medicaid program to resolve any potential civil liability to the program. The restitution ordered reflects repayment of all money illegally received by Ms. Kwong, as well as a civil penalty.

The case was referred to the Medicaid Fraud Control Unit (MFCU) of the Office of the Attorney General of Colorado by the Program Integrity Unit of the Colorado Department of Health Care Policy and Financing

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