Dec. 7, 2018 —
A Sterling woman was sentenced today to 7 years in prison for health care fraud and tax charges for operating a fraudulent sleep study clinic in Northern Virginia.
According to court documents and evidence presented at trial, Young Yi, 44, a citizen of South Korea, defrauded Medicare, Tricare, private insurance, and the IRS of more than $10 million during the conspiracy. Yi formed the primary entities she used to commit the crimes, 1st Class Sleep Diagnostic Center and 1st Class Medical, in 2005. Using those and other entities, Yi directed her employees to solicit patients who had been referred to her clinic for legitimate sleep studies for supplemental but medically unnecessary studies. To conceal the scheme, Yi instructed employees not to send the results of the fraudulent studies to the patients' doctors, lied to patients by telling them they did not have to pay copays or coinsurance, and cross-billed using her different entities both to conceal the repetition from the insurance companies and to get out-of-network payments for in-network services. Yi also used the original referring doctors' names and identifying information on health insurance claims without their permission, the evidence showed.