Nurse Practitioner Pleads Guilty to $6.1 Million Healthcare Fraud Conspiracy in Idaho

Kristen Bolling, 40, of Sheridan, Wyoming, pleaded guilty to conspiracy to commit healthcare fraud in Idaho. According to court records, from April 2017 through October 2019, Bolling conspired to commit healthcare fraud. Bolling accepted pre-filled medical orders from companies, signing the orders without seeing the patients or making a medical necessity determination and returning the signed orders to the companies in exchange for compensation. During this time, Bolling was licensed and practiced as a nurse practitioner in Idaho. She was also licensed in Wyoming, Colorado, and Washington. Bolling was recruited to work for multiple companies to generate fraudulent medical orders for durable medical equipment (DME), including braces, and cancer genomic testing (CGx). Bolling received kickbacks of approximately $15–$30 per “consult” performed, with the expectation that a “consult” would result in a signed medical order. During the conspiracy, Bolling received at least $204,007 in kickbacks for fraudulent medical orders. The medical orders that Bolling signed, and which the companies sold, were used to fraudulently bill Medicare resulting in payments of over $6.1 million for DME and CGx tests that were not medically necessary and for which the medical orders were procured through the payment of kickbacks and bribes.

You May Also Like