NEW ORLEANS—Daria Litvinova, age 25, of
Metairie, Louisiana, pleaded guilty to conspiracy to commit health care fraud
and Ernestine Girod, age 47, of Marrero, Louisiana pleaded guilty to health
care fraud. The pleas were entered today before U.S. District Court Judge Lance
M. Africk, announced U.S. Attorney Jim Letten.
According to superseding bill of
information for Litvinova and the second superseding indictment for Girod, the
defendants participated in a criminal organization for the purpose of fraudulently
billing Medicare and Medicaid. Patients went to the medical clinics for medical
tests that were not performed and not medically necessary. Clinic owners paid
runners like Girod to bring Medicare and Medicaid patients to the clinics.
Patients were moved between the various clinics to repeatedly perform the same
unnecessary tests. According to the superseding bill of information and
indictment, the doctors gave the patients prescriptions for drugs, usually
narcotics, for their cooperation.
Thereafter, bills for the false and
unnecessary services were submitted to Medicaid and Medicare by a third party
medical claims processing and billing company that worked with other New
Orleans-area clinics that have already entered guilty pleas.
Count one of the superseding bill of
information, to which Litvinova pleaded guilty, conspiracy to commit health
care fraud, carries a possible maximum sentence of five years’ imprisonment.
Count one of the second superseding indictment, to which GIrod pleaded guilty,
carries a possible maximum sentence of 10 years’ imprisonment. Sentencing for
Girod has been scheduled for January 10, 2013. Sentencing for Litvinova has
been set for December 6, 2012.
Artem Gasparyan, Vadim Mysak, Anna
Aivazova, Aram Khlgatian; the medical clinics, Health Plus Consulting Inc.,
Saturn Medical Group, New Millennium Medical Group, Inc.; and the biller, Solo
Lucky Claims Processing Inc., have already pleaded guilty and are awaiting
sentencing. Jo Ann Girod, Ernestine Girod’s, sister, plead guilty on October
17, 2011, and was sentenced to six months’ imprisonment and ordered to pay
restitution in the amount of $2,452.81.
The investigation was conducted by
special agents of the Federal Bureau of Investigation; the U.S. Department of
Health and Human Services, Office of Inspector General; and the Louisiana
Department of Justice, Medicaid Fraud Control Unit. The case is being
prosecuted by Assistant U.S. Attorneys Patrice Harris Sullivan, G. Dall Kammer,
and Jordan Ginsberg.