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Maine Psychologist Sentenced to 8 Months for Fraud
10/08/2013 04:24 PM ET  

Carole Orem-Hough, 55, of Cape Elizabeth had pleaded guilty to defrauding insurance companies by submitting claims for counseling sessions that never happened.

PORTLAND, Maine (AP) _ A Maine psychologist has been sentenced to eight months in jail and ordered to pay nearly $70,000 in restitution for health care fraud.

Fifty-five-year-old Carole Orem-Hough of Cape Elizabeth had pleaded guilty to defrauding insurance companies by submitting claims for counseling sessions that never happened.

The U.S. attorney's office says Orem-Hough defrauded private health insurance plans by submitting claims for counseling sessions that never occurred, often billing for two sessions per week when she only saw the patient for one session a week.

Federal prosecutor say Orem-Hough admitted Tuesday that she filed false claims but said she felt bullied by the insurance companies and entitled to higher reimbursements.

U.S. Attorney Thomas Delahanty had said the fraud loss was over $69,000 and involved false claims with respect to almost 50 patients.


 

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