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Man gets 3 years in Medicaid fraud case

An Orange County man will serve three years in prison for a yearlong scheme that defrauded the Medicaid system of more than $18,000.

James H. Fincham Jr., 46, was sentenced in Louisa County Circuit Court on Monday to 20 years in prison with all but three years suspended.

He pleaded guilty in February to two counts of Medicaid fraud, two counts of obtaining money by false pretenses and one count of burglary. Seven other charges were dropped.

According to Assistant Commonwealth’s Attorney Adam Ward, Fincham was at the heart of a scheme to defraud Medicaid by exaggerating an alleged debilitating medical condition from March 2012 to May 2013. This enabled him to hire personal-care aides, Ward said.

Ward said Fincham and the aides committed fraud by submitting falsified time sheets. When the aides were paid for hours they didn’t work, Fincham would get a kickback from that money, he said.

Ward said at the time, Fincham was still able to drive and work, but he illegally obtained a total of $18,375.30 from Medicaid.

The three aides convicted in the fraud case are awaiting sentencing.

An investigation began after an anonymous caller told the Virginia Attorney General’s office that she had been asked to take a part in the scheme.

Investigator Caren Flick gathered evidence in the Medicaid case and also determined that Fincham committed a May 30 burglary in the town of Louisa. The Louisa town Police Department assisted with getting a conviction in that case, Ward said.

“This man engaged in a systematic attempt to defraud the taxpayers of the commonwealth,” said Louisa Commonwealth’s Attorney Rusty McGuire. “We are thankful to the Office of the Attorney General’s Medical Fraud Control Unit for bringing this case to our attention and assisting with the prosecution.”

Portsia Smith: 540/374-5419


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