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QUINCY – The proprietor of a Quincy-based psychological well being and habit remedy service will serve three to 4 years in state jail after the pleaded responsible to defrauding private and non-private insurance coverage firms, together with the state’s Medicaid program.
Nicole Kasimatis, 48, of Quincy pleaded responsible in Norfolk Superior Court docket to a few counts of larceny over $1200, two counts of submitting a false well being care declare and two counts of submitting false Medicaid claims.
Choose Peter Krupp ordered her to a few to 4 years in state jail adopted by three years of probation with the situations that she pay restitution, not work for a MassHealth supplier and never invoice MassHealth for providers. She should additionally keep in Massachusetts and forfeit any passports, and keep away from and don’t have any contact with named witnesses. The restitution quantity has not been decided.
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Legal professional Basic Maura Healey’s Medicaid Fraud Division started an investigation into Kasimatis’ billing practices in 2019, following a referral from the Insurance coverage Fraud Bureau and the Norfolk County District Legal professional’s workplace.
In November 2021, Kasimatis was arrested and arraigned for defrauding MassHealth of practically $500,000 by billing for substance use dysfunction and different psychological well being providers she didn’t carry out. Prosecutors say she additionally billed for providers not rendered by licensed or supervised Fortitude staff and for providers below the title and variety of suppliers who now not labored for her.
In January 2022, Kasimatis was arraigned on extra prices for submitting false Medicare claims for providers not rendered and getting paid roughly $44,000. Kasimatis was additionally indicted in 2015 and 2018 in two different circumstances on prices together with public help fraud, larceny, doc forgery and uttering a false cash order.
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Kasimatis used the cash from her schemes for her personal private use, together with paying for worldwide journey, Disney journeys, Crimson Sox video games, baseball camps for her youngsters, weight reduction providers and even to submit bail for her prior prison prices, Healey’s workplace stated.
“This defendant had a accountability to offer sufferers with vital behavioral well being providers, however she as a substitute selected to defraud the system for her personal private achieve,” Healey stated in a press release. “We’re grateful to our companions on this case for working with us to carry this defendant accountable for her crimes and to guard our state sources from these schemes.”
Following her responsible plea, Kasmatis’ probation from earlier circumstances was revoked, and she or he was additionally sentenced to 2 to a few years in state jail to run concurrently along with her three- to four-year jail sentence.
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Attain Mary Whitfill at [email protected].
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