SAN JOSE- Vilasini Ganesh was sentenced today to 63 months
in prison for health care fraud and making false statements related to a health
care benefits program, announced United States Attorney Alex G. Tse and Federal
Bureau of Investigation Special Agent in Charge John F. Bennett. The sentence
was handed down by the Honorable Lucy H. Koh, U.S. District Judge.
Ganesh, 47, and her husband Gregory Belcher, 56, both of
Saratoga, Calif., were convicted of the charges on December 15, 2017, after an
eight-week trial. The evidence at trial
demonstrated Ganesh submitted a series of false medical claims related to the
family medical practice she owned, Campbell Medical Group in Saratoga. For example, Ganesh submitted claims for days
when a patient had not been seen by the provider and claims for patients who
had been seen by a physician provider who no longer was affiliated with her
practice. Additionally, Ganesh billed
insurers with claims that certain patients were seen twelve to fifteen times in
a single month.
On July 13, 2017, a federal grand jury indicted Ganesh and
Belcher, charging them with one count of conspiracy to commit health care
fraud, in violation of 18 U.S.C. § 1349; one count of conspiracy to commit
money laundering, in violation of 18 U.S.C. § 1956(h); multiple counts health
care fraud, in violation of 18 U.S.C. § 1347 and 2; and making a false
statement relating to health care matters, in violation of 18 U.S.C. § 1035.
The jury convicted Belcher of one count of health care fraud and convicted
Ganesh of five counts of health care fraud and five counts of making false
statements. The jury acquitted
defendants of the remaining counts.
During Ganesh’s sentencing hearing, Judge Koh stated that
Ganesh obstructed justice by misrepresenting her understanding of the legal system,
the amount of money she was paid by insurers, and whether she understood that
it was improper to “upcharge” when submitting claims to insurers. Judge Koh also found that Ganesh had abused a
position of trust by submitting the false claims. In addition to the prison term, Judge Koh
sentenced Ganesh to a 3-year term of supervised release and ordered the
defendant to pay restitution in the amount of $344,916.20. Ganesh will begin serving the prison sentence
on November 1, 2018.
On April 4, 2018, Judge Koh sentenced Belcher to a year and
a day in prison to be followed by three years of supervised release.
Assistant U.S. Attorneys Patrick Delahunty and Jeff Nedrow
are prosecuting the case with the assistance of Susan Kreider and Nina Burney
Williams. The prosecution is the result
of an investigation by the Federal Bureau of Investigation.
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