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Post date: September 28 2015

A.G. Schneiderman Announces Guilty Plea Of Rochester Nurse For Defrauding Medicaid Of Over One Thousands Dollars In One Month

Tera Poles Billed For Hours Of Care She Never Provided For a Special Needs Child; Will Pay Full Restitution For The Amount She Over-Billed

ROCHESTER—Attorney General Eric T. Schneiderman announced the guilty plea of Licensed Practical Nurse (L.P.N.) Tera Poles, 33 of Rochester, for allegedly stealing $1,355.07 from the Medicaid program by billing for numerous hours that she did not work. Poles was employed at a private facility to provide nursing services for a special needs child.

“It is shameful to exploit the medical needs of patients for personal financial gain,” said Attorney General Schneiderman. “Our message is clear: we will continue to hold those accountable who attempt to defraud the system at the expense of our most vulnerable citizens.”

An investigation by the Attorney General’s office found that Poles, who was hired for a one month period of time, billed for hours of work when she did not actually provide care for the medically fragile child. As a result, she was able to accrue over one thousand dollars in false billings.

Poles pleaded guilty before The Honorable John A. Falk. As part of her guilty plea, Poles will be sentenced to up to three years’ probation and will pay the full amount in restitution to the state.

The Office of the Medicaid Fraud Inspector General also participated in the investigation. The case was investigated by Special Investigator David Giudici and Principal Auditor/ Investigator Thomas Clarke with assistance from MFCU Deputy Chief Investigator William Falk and OMIG Investigator Colleen Balkin.  The case was being prosecuted by Special Assistant Attorney General Jennifer Sommers.  Catherine Wagner is Director of the Rochester Regional MFCU Office and the Upstate Chief of Criminal Investigations.  The Medicaid Fraud Control Unit is led by Director Amy Held and Assistant Deputy Attorney General Paul Mahoney. The Division of Criminal Justice is led by Executive Deputy Attorney General Kelly