Rivas Goldstein, LLP Call : 512-481-2916

Husband and wife accused of healthcare fraud

The Department of Justice (DOJ) continues to crackdown on allegations of healthcare fraud. The agency’s most recent examples a psychologist and his wife who ran a psychological practice. The government has accused the couple of partaking in an elaborate billing scheme to defraud Medicaid.

Allegations explained: Couple accused of fraudulent billing practices

The agency has accused the couple of fraudulently billing Medicaid for mental health services. The allegations are connected to group therapy services provided in the psychological practice the couple ran from 2012 through 2016. The government has claimed these services did not qualify within the government’s definition of group therapy. The government states the couple failed to use “up-to-date treatment plans to guide each Medicaid beneficiaries’ treatment” as required by law. As such, hours billed for group therapy sessions provided at the practice were deemed an illegal attempt to fraudulently bill Medicaid.

The agency also accused the couple of providing falsely backdated treatment plans during an audit of the psychological practice. The government has stated the couple intentionally provided false treatment plans and false statements to conceal their involvement in the scheme.

Government success: Couple takes a plea deal

Ultimately, the couple chose to enter a negotiated plea with the government. The husband and wife pled guilty to the charges and face sentencing in December of 2018.

Lesson for medical professionals: Get a lawyer

The government will continue to investigate and prosecute allegations of healthcare fraud. Take the notice of an investigation seriously. Contact an attorney to build a defense and protect your rights.

No Comments

Leave a comment
Comment Information
Email Us For A Response

Rivas Goldstein LLP: On Your Side, Protecting Your Future

Our experienced Texas-based health care lawyers are here to help you and your business succeed. Please call 512-481-2916 or contact our law firm online.

Schedule A Consultation With An Attorney

Bold labels are required.

Contact Information
disclaimer.

The use of the Internet or this form for communication with the firm or any individual member of the firm does not establish an attorney-client relationship. Confidential or time-sensitive information should not be sent through this form.

close

Privacy Policy

Austin Office
3345 Bee Cave Rd, Suite 104
Austin, TX 78746

Phone: 512-481-2916
Map & Directions

New York Office
By Appointment Only
405 Lexington Ave 26th Floor
New York, NY 10174

Phone: 646-859-3790
Map & Directions

New Jersey Office
By Appointment Only
1 Gateway Center, Suite 2600
Newark, NJ 07102

Phone: 646-859-3790
Map & Directions

Review Us