$700,000 Fraud Leads To Federal Charge

Iowa woman charged With Over $700,000 Of Health Care Fraud.

45 year old Angela Shae Ellison of Centerville, Iowa, made her initial appearance in federal court on charges of committing over $700,000 of fraud against Medicaid, WellMark Blue Cross/Blue Shield, Aetna, and United Health through
false billing.

Counts one through four of the federal indictment charge that Ellison, between February 2007 and March 2010, submitted false claims for payment to Medicaid and three insurance
companies to obtain money for services allegedly performed by various doctors to patients of Cornerstone Counseling Center, services which the doctors did not perform.

The indictment charges that Medicaid was defrauded of in excess of $500,000, Wellmark was defrauded of more than $200,000, Aetna was defrauded of more than $3,000, and United Health lost more than $6,000.

Ellison faces up to twenty years imprisonment, a $250,000 fine, or both if, convicted of health care fraud.
Count five through eight of the indictment charges that Ellison, as part of her scheme to defraud the health care providers, committed aggravated identity theft by using the name and national provider information number (NPI number) of various doctors, without lawful authority.

The NPI number is a unique 10-digit identification number issued by the Centers for Medicare and Medicaid Services (CMS) to health care providers for use in billing government and commercial health care insurers.


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