On May 26, 2017, a jury found Brown guilty of 23 counts of
health care fraud and one count of conspiracy to commit health care fraud.
According to the evidence at trial, Brown owned and operated
WeMPACT, LLC, a social services business with offices in Bristol and
Torrington. Between August 2010 and
April 2014, Brown billed Medicaid for psychotherapy services that were not
performed. In addition to that scheme,
Brown separately conspired with Beverly Coker and another unnamed individual to
bill Medicaid for psychotherapy services that represented Coker had performed
the services when, in fact, the services were provided by unlicensed
individuals, or were not provided at all.
According to court documents and statements made in earlier
court proceedings, Coker, a licensed clinical social worker, owned and operated
New Beginnings Family Center, LLC, in Hartford.
On April 8, 2016, Coker, of Windsor, pleaded guilty to one count of
health care fraud, admitting that between October 2010 and November 2011, she
engaged in a scheme to defraud Medicaid by permitting Brown and another
individual to bill Medicaid for psychotherapy services using Coker’s Medicaid
provider number. The services were
either performed by unlicensed individuals or not performed at all. Under the scheme, Coker kept 30 percent of
the proceeds, and paid the remaining 70 percent to Brown and the other
individual. As part of her plea, Coker
admitted to defrauding Medicaid of approximately $214,555 through the scheme.
Judge Bolden ordered Brown to pay restitution in the amount
of $2,033,962.
Brown has been released on a $100,000 bond since her arrest
on May 23, 2016. Judge Bolden order her
to report to prison on May 31, 2018.
Coker awaits sentencing.
Three other individuals were charged and convicted of health care fraud
offenses stemming from this investigation.
This matter has been jointly investigated by the Office of
the Inspector General of the U.S. Department of Health and Human Services and
the Medicaid Fraud Control Unit of the Chief State’s Attorney’s Office, with
assistance from the Connecticut Attorney General’s Office. U.S. Attorney Durham also thanked the
Connecticut Department of Social Services for their role in identifying the
fraudulent scheme and supporting the investigation and prosecution of the case.
The U.S. Attorney’s Office, Chief State’s Attorney’s Office
and Attorney General’s Office meet regularly as part of The Medicaid Fraud
Working Group. The Working Group also
includes representatives from the Connecticut Department of Social Services;
the Connecticut Department of Public Health; the Drug Control Division of the
Connecticut Department of Consumer Protection; the Office of the Inspector
General of the U.S. Department of Health and Human Services, and the FBI. The Working Group reviews pending issues and
cases, identifies trends that might indicate fraudulent activity, and
coordinates efforts for maximum results.
This matter is being prosecuted by Assistant U.S. Attorneys
David J. Sheldon and Christopher W. Schmeisser.
People who suspect health care fraud are encouraged to
report it by calling 1-800-HHS-TIPS.
No comments:
Post a Comment