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"Doctor At Home" Manager Arrested on Federal Health Care Fraud Charge; Allegedly Ran Extensive Medicare Fraud Scheme

CHICAGO - A registered nurse who operates a suburban health care provider that sends physicians to patients' homes was arrested today on a federal health care fraud charge. The defendant, DIANA JOCELYN GUMILA, who manages Suburban Home Physicians, doing business as Doctor At Home, was charged with health care fraud in a criminal complaint that was unsealed upon her arrest. The complaint alleges a scheme to defraud Medicare by falsely certifying patients as being confined to their homes and requiring home health services; falsely increasing, or "upcoding," claims for services; over-scheduling and double-billing patient visits, submitting false claims for providing extensive oversight of patients' home health services, and billing for tests that were not medically necessary.


Action Details

  • Date:July 29, 2014
  • Agency:U.S. Department of Justice
  • Enforcement Types:
    • Criminal and Civil Actions