N.J. U.S. Attorney: Essex County Woman Sentenced to 21 Months in Prison for Health Care Fraud Conspiracy

NEWARK, New Jersey, June 16 -- The U.S. Attorney for the District of New Jersey, Philip R. Sellinger, issued the following news release on June 15, 2023:

An Essex County woman was sentenced to 21 months in prison for her role in defrauding insurers by submitting fraudulent claims for chiropractic services that were never rendered, U.S. Attorney Philip R. Sellinger announced today.

Tiffany Marsh, 45, of Orange, New Jersey, previously pleaded guilty before U.S. District Judge Claire C. Cecchi to an information charging her with one count of conspiracy to commit health care fraud. Judge Cecchi imposed the sentence on June 14, 2023, in Newark federal court.

According to documents filed in this case and statements made in court:

Marsh was a medical billing professional who submitted false claims to two employer-provided health insurance plans for chiropractic services that were never provided. Marsh, who worked for the chiropractors at issue, falsely claimed that various individuals with employer-provided health insurance had incurred out-of-network medical costs, causing the insurance plans to issue reimbursement checks to the individual employees. The employees received the checks, and then paid Marsh a portion of the reimbursements in cash. As a result of the scheme, the victim health insurance plans incurred losses of approximately $334,000.

In addition to the prison term, Judge Cecchi sentenced Marsh to three years of supervised release and ordered her to pay $334,837 in restitution.

U.S. Attorney Sellinger credited special agents of the U.S. Attorney's Office, under the direction of Special Agent in Charge Thomas Mahoney, and the FBI, under the direction of Special Agent in Charge James E. Dennehy, with the investigation leading to today's sentencing.