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Para Publicación Inmediata:
Contacto:
Día 17 de Febrero del 2015 

Oficina del Fiscal General
- John J. Hoffman, Fiscal General Interino
Oficina del Procurador de Fraude en Seguros
-
Ronald Chillemi, Procurador Interino
Prensa:
Zach Hosseini
609-292-4791
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Ciudadanos:

609-984-5828
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Un ex ayudante de cuidado de salud en casa admite culpabilidad a cargos de que robó más de $64,000 de Medicaid remitiendo reclamos fraudulentos
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TRENTON – El Fiscal General Interino John J. Hoffman y la Oficina del Procurador de Fraude en Seguros (Office of the Insurance Fraud Prosecutor u OIFP) anunciaron que un ex empleado de una agencia de cuidado de salud en casa admitió culpabilidad a cargos de que causó que facturas fueran remitidas al programa de Medicaid por servicios que nunca fueron proveídos.

Elhan Gurban, 52, de Fort Lee, admitió culpabilidad a un cargo en segundo grado de fraude de reclamo de cuidado de salud ante el Juez de la Corte Superior en Bergen County Liliana Deavila-Silebi. El estado recomendará una sentencia de 4 años de prisión y que pague restitución en la cantidad de $64,125.

Gurban admitió que entre Enero del 2008 y Octubre del 2012, él causó que se remitieran 1,413 falsos reclamos a Medicaid por servicios que él no proveyó. Gurban no proveyó los servicios de cuidado de salud en casa para los beneficiarios de Medicaid en cientos de reclamos ya que él estaba fuera del país o en otro trabajo, no relacionado, y por lo tanto no podía haber preformado ninguno de los servicios. Una investigación de la Office of the Insurance Fraud Prosecutor determinó que, como resultado del fraude, Medicaid se alega pagó $64,125.

Gurban era un ayudante certificado de salud en casa en la Confident Care Corporation, una compañía que tiene su oficina principal en Hackensack y 10 sucursales por toda Nueva Jersey, así como también oficinas en Florida.

Él es uno de los 6 actuales o previos empleados de Confident Care que han sido cargados por la OIFP por estafar a Medicaid de semejante manera. Los torso son:

  • Naum Lavnevich, 57, de Oakland, admitió culpabilidad en Enero a un cargo en segundo grado de fraude de reclamos de salud, admitiendo que entre Enero del 2008 y Octubre del 2010, el causó que se remitieran 178 reclamos a Medicaid por servicios que no fueron proveídos. Como resultados del fraude, Medicaid pagó $5,614. Su sentencia está programada para el 10 de Abril.

  • Anatoli Rountsev, 52, de Totowa, admitió culpabilidad en Diciembre del 2014 a un cargo en segundo grado de fraude de reclamo de cuidado de salud, admitiendo que entre Junio del 2008 y Junio del 2009, él causó que 463 reclamos falsos fueran remitidos a Medicaid, ewhich paid out $12,598. His sentencing is scheduled for March 27.

  • Vladimir Faerman, 66, of Hawthorne, charged in October 2014 with 175 counts of second-degree health care claims fraud, second-degree theft by deception and third-degree Medicaid fraud. Faerman allegedly caused fraudulent claims totaling $87,616.23 to be submitted to the Medicaid program for work he never actually completed.

  • Roman Abashkin, 32, of Wayne, charged in July 2014 with 24 counts of second-degree health care claims fraud and one count each of third-degree Medicaid fraud and third-degree theft by deception. Abashkin allegedly caused 212 fraudulent claims to be submitted to Medicaid, which paid out $6,664.
    ◾Semen Rybalov, 68, of Wayne, charged in July 2014 with 15 counts of second-degree health care claims fraud and one count each of third-degree Medicaid fraud and third-degree theft by deception. Rybalov allegedly caused 45 false claims to be submitted to Medicaid, which paid out $2,180.

Assistant Attorney General Ronald Chillemi and Deputy Attorney General Jordan Mamorsky represented the state in the matter. Detectives Kylie Mattis and Anthony Correll and Analyst B’leia Williams conducted the investigation.

Acting Insurance Fraud Prosecutor Chillemi noted that some important cases have started with anonymous tips. People who are concerned about insurance cheating and have information about a fraud can report it anonymously by calling the toll‑free hotline at 1‑877‑55‑FRAUD, or visiting the Web site at www.NJInsurancefraud.org. State regulations permit a reward to be paid to an eligible person who provides information that leads to an arrest, prosecution and conviction for insurance fraud.

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