Rivas Goldstein, LLP Call : 512-481-8000

Autistic care providers accused of health care fraud

Government officials recently charged two women with health care fraud. The case is unique as the charges are the result of allegations connected to the women’s practice providing care for autistic children.

Prosecution states autistic services a front for fraudulent charges

The alleged scheme ran from 2009 to 2016. During this time, the prosecution states the women charged Medicaid for services the autistic children never received. The government gathered evidence primarily through testimony of former employees. These whistleblowers stated the “culture and climate” of the facility was one that encouraged fraudulent billing practices.

Parents of patients spoke out in support of the women. They state the women provided their children with quality care. However, the government stated the women charged Medicaid for care the children never received.

Government offers opportunity to accept misdemeanor instead of felony charges

The women chose to accept a plea deal. As part of the deal, the government would agree to pursue misdemeanor charges. If they had not accepted the deal, they faced felony charges. The felony charges, if convicted, would have come with a minimum 4-year prison sentence. With the misdemeanor charges, the women will instead face a six-month prison sentence and the ability to potentially get their health care licenses back in the future.

As part of the plea deal, the women agreed to provide evidence against the founder of the facility. The prosecution has stated it will seek $9 million in restitution from the founder.

Weigh all options before choosing to deal with government

The case provides an example of the types of options the government will present those accused of health care fraud crimes. It is important for those who are accused of similar crimes to consider all options, including building a defense to maintain innocence.

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 512-481-8000 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

Toll Free: 800-761-5190
Phone: 512-481-8000
Fax: 512-481-0022
Austin Law Office Map

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

Phone: 212-541-2451
Fax: 917-368-8005
Map & Directions

McAllen Office By Appointment Only
1100 East Jasmine Ave
Suite 105
McAllen, TX 78501

Phone: 512-481-8000
Map & Directions

Review Us