The owner of a Houston health clinic pled guilty to insurance fraud after billing for medical services – often provided to injured employees – despite having no licensed medical staff at the clinic. Instead, investigators found that the clinic was using foreign medical students to provide care. The accused entered a guilty plea in Harris County Court and was sentenced to seven years deferred adjudication and ordered to pay $88,000 in restitution. A joint investigation by the Texas Department of Insurance Division of Workers’ Compensation and Texas Mutual Insurance Company revealed that the clinic had a licensed doctor on staff at one time. When that doctor left in 2012, the owner began hiring the students to act as doctors and treat patients. In all, the clinic submitted $166,843 in fraudulent workers’ comp claims, representing more than 50 injured employees, claiming they had been treated by the clinic’s previous doctor.
Read more from the Texas Department of Insurance here.