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Local Woman Indicted In $3.5 Million Fraud Scheme

WACO (December 5, 2013) WACO (December 5, 2013) Robin Renee Haigler, 57, of Waco, has been indicted in connection with what federal prosecutors described Thursday as a $3.5 million health care fraud scheme.

She and Kathleen Marina Kelly-Tuorila, 42, of Devine, were named in a 21-count indictment returned Wednesday by a federal grand jury in San Antonio, prosecutors announced Thursday.

Haigler was set for an initial appearance before U.S. Magistrate Jeffrey C. Manske Friday morning in Waco, the U.S. District Court docket showed.

The two women are employees of DTS Medical Company, whose owner, Daniel Thomason Smith, 52, was also indicted.

Smith and the two women were each indicted on one count of conspiracy to commit health care fraud, one count of aiding and abetting health care fraud, 11 counts of aiding and abetting aggravated identity theft and eight counts of aiding and abetting false statements related to a health care matter, prosecutors said.

The indictment alleges that between May 2006 and January 2010 the three submitted “numerous false and fraudulent benefit claims to Medicaid and Medicare seeking compensation for powered wheelchairs,” the U.S. Attorney’s Office said in press release Thursday.

“Smith employed Haigler on a commission basis to recruit customers primarily in the Waco area. At Smith’s direction, Haigler filled out benefit claims for customers that contained false information, including fraudulent prescriptions which she oftentimes generated, and then forwarded those claims to Kelly-Tuorila for submission to Medicaid and Medicare for reimbursement,” the press release said.

“Haigler would then arrange to deliver a “power scooter,” an item which has a lower Medicaid/Medicare reimbursable rate, to customers instead of the powered wheelchair that Medicaid and Medicare were billed for,” prosecutors said.

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