Northampton woman pleads guilty in fraudulent billing of health care insurance company

Date: 
10.29.2018

Kathleen D. McGovern, 64, of Northampton, pleaded guilty in Hampshire Superior Court today to 1 count of making false statements in connection with applications for payment of health care benefits, and 1 count of larceny over $250 in connection with the fraudulent billing of Health New England over a 5-year period for counseling services she did not provide.

Judge Richard Carey ordered her to serve 3 years probation with multiple conditions, including that she not offer counseling services, have no contact with people whose names she used to fraudulently bill the insurance company, that she undergo mental health evaluation and treatment and that she provide 4 hours of community service per week during the period of her probation.

McGovern admitted to billing the insurance company for more than 1,000 counseling sessions that never occurred, using the names of 38 people, some of whom she didn’t know but had found online,  between June 1, 2011 and June 1, 2017, when her scheme came to light. She defrauded the insurance company of over $100,000.

The Massachusetts Insurance Fraud Bureau  investigated the incidents along with the Northwestern District Attorney’s Office.

First Northwestern District Attorney Steven E. Gagne, who prosecuted the case, had recommended that McGovern serve 18 months in the Hampshire County House of Correction. The maximum allowable sentence was 5 years in state prison for each offense.