Maine psychologist pleads guilty to fraud

1:29 PM, May 21, 2013   |    comments
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PORTLAND, Maine (AP) - A Maine psychologist has pleaded guilty to defrauding insurance companies by submitting claims for counseling sessions that never happened.

Federal prosecutors said Carole Orem-Hough of South Portland billed insurance companies for two counseling sessions a week when she saw the patient once per week.

She told one patient that she double-billed Aetna because the company reimbursed her for about half of what she received from other companies.

The claims were submitted from September 2008 to September 2011.  U.S. Attorney Thomas Delahanty said the fraud loss is over $69,000 and involved false claims with respect to almost 50 patients.

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