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Medical Supply Store Operators Admit Medicaid Fraud

The operator of a Highland Park medical supply shop who lives in Holmdel faces up to three years in prison for a role in beating Medicaid out of about $150,000.

Yelena Medvedik, 40, pleaded guilty to second-dgree counts of conspiracy and health care claims fraud in a Trenton courtroom today, according to information from the office of acting New Jersey Attorney General John J. Hoffman.

A business partner, Marina Finkel, 50, of Staten Island, also entered a guilty plea. Prosecutors are recommending three-year prison sentences for each, plus restitution and civil penalties amounting to $300,000. They are also to be barred from Medicaid transactions for eight years.

The pair admitted filing bogus claims from October 3, 2006 until December 16, 2011, through DNT Medical LLC, doing business as Comfort Health.

An undercover investigator for the Office of the Insurance Fraud Prosecutor learned that the reimbursements were attributed to orthopedic shoes, but that the footwear wasn’t orthopedic and didn’t qualify for payments.

Sentencing is scheduled for January 31, 2014.

If you suspect insurance fraud, New Jersey’s hotline to report it is 1-877-55-FRAUD. Or, visit the New Jersey Insurance Fraud Prosecutor’s web page. Officials say that under state regulations, eligible people whose information leds to arrests, prosecutions and convictions are entitled to rewards.

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