A onetime executive with an Osseo home health care company is heading to prison for stealing hundreds of thousands of dollars in a scheme she contended was fueled by a "severe addiction" to shopping for lavish items and other psychological problems.
Lori Jo Mueller, 48, of Apple Valley, was sentenced Wednesday in federal court to four years and three months in prison for siphoning off money for more than six years from Edelweiss Home Health Care, which was forced to close in the wake of the thefts. The sentence is at the top end of the advisory guidelines.
From June 2006 through June 2012, Mueller stole about $842,000 from Edelweiss in nearly 350 acts of theft, and used the money to pay credit card bills and other personal expenses. She pleaded guilty in February to wire fraud and health care fraud. Meanwhile, Edelweiss closed in September and reopened as a new and smaller business in March with fewer clients and employees.
Also, from March 2010 until June 2012, she allegedly defrauded Medica by submitting false claims to various insurers seeking reimbursement for services provided by Edelweiss nursing staff.
In some instances, Mueller billed multiple insurance providers for the same services. The false billings recouped more than $631,000 for Edelweiss, unbeknownst to the owner, in fraudulent proceeds. Mueller was fired soon after the scheme was detected.
Mueller, who began working for Edelweiss in 2002 as a bookkeeper and was promoted to vice president of operations, was responsible for the review and payment of corporate invoices, bookkeeping and other financial matters. This access allowed her to issue company checks to herself.
Court records also show that Mueller, while known as Lori Jo Peterson, was convicted in 1997 of stealing more than $60,000 from a company in Burnsville. She also was convicted in 1992 of stealing tens of thousands of dollars in a swindling case in Hennepin County.
In Minnesota, the risk for abuse and fraud is something the home health care industry has been grappling with for years in the face of demands of an aging population that wants to stay in their homes.
Last year, state fraud investigators with the Department of Human Services handled 104 cases involving personal care provider organizations and four cases involving home health care agencies. The year before, the agency investigated 191 cases involving personal care provider organizations and six involving home health agencies.
In urging the court to spare Mueller prison and instead be put on probation with community-based confinement, defense attorney Frederic Bruno pointed out in a pre-sentencing filing that his client's actions "were driven by her severe addiction to shopping, and that her failure to take prescribed medications and participate in therapy for a mental disorder contributed to this addiction."