A Jeffersonville woman was sentenced Wednesday to serve 63 months in federal prison in connection with filing fraudulent income tax and health care claims.
In January, Jackie Elvine, also known as Jackie Young, pleaded guilty to health care fraud, aiding in the preparation of a false tax return and false claims against the government.
In addition to her prison sentence, Elvine also must pay $372,008 restitution, according to the U.S. Attorney’s Office.
According to a plea agreement Elvine signed in January:
In early 2010, state revenue agents identified a series of fake Georgia tax returns prepared and submitted by Elvine. She was arrested in June 2011 following an initial investigation by state revenue agents and Twiggs County deputies.
Until her arrest, Elvine worked as a quality assurance manager for National Reimbursement Group, a national medical billing service in Macon that provided billing services for ambulance companies. Between September 2008 and October 2010, Elvine diverted 57 checks issued by health insurance companies for legitimate services to her own account. The checks totaled $43,137.
She offset other accounts to make it appear as though the accounts were balanced daily.
Elvine also used her position to direct a North Carolina ambulance company to issue 85 fraudulent refund checks to people she knew in the Charlotte, North Carolina, area. Elvine received half the illegal proceeds.
National Reimbursement Group entered into a settlement agreement with the ambulance company in 2012 to repay $134,247 in misappropriated funds.
While enrolled in a supplemental health care insurance policy between 2007 and 2010, Elvine submitted 31 claims to AFLAC for injuries and illnesses she knew were bogus. She forged doctor’s signatures, altered medical records and submitted false documents to make it appear as though she had legitimate hospital stays, doctor appointments and ambulance trips
Elvine helped nine co-workers file false claims to AFLAC and provided them with fake medical records. Some split the proceeds from the claims with Elvine. In all, AFLAC paid $147,483 in false claims.
Using her Jeffersonville business, Young’s Financial Billing Service, Elvine prepared and submitted hundreds of false tax returns. She filed for a tax credit for first time home buyers on dozens of returns. She also claimed credits for higher education cots that she knew weren’t legitimate.
The credits amounted to $283,683.
Elvine instructed most of her clients to apply for a refund anticipation loan through a bank that issued refund checks directly to her office. Clients paid Elvine a portion of the refunds in addition to her tax preparation fees.
Information from Telegraph archives was used in this report. To contact writer Amy Leigh Womack, call 744-4398.