PHILADELPHIA – U.S. Attorney William M. McSwain announced
that Dr. Domenick Braccia, 57, of Perkasie, PA entered a plea of guilty before
Judge Wendy Beetlestone on one count of conspiracy to commit health care
fraud. The charges against the defendant
stem from federal and state investigations into an elaborate insurance fraud
scheme involving a Bucks County-based addiction treatment center, Liberation
Way.
Dr. Braccia served as the Medical Director of Liberation
Way, and, as the sole doctor, was the head of medical treatment at all three of
its facilities. As such, he was tasked
with overseeing the care of all the patients seeking addiction treatment,
ordering all medically necessary tests, evaluating the results of all medical
tests and incorporating their results into any treatment plan, prescribing
medications, and overseeing the staff who were tasked with other non-medical
therapy and care of patients. However,
Braccia did not provide the amount of medical care that was billed to insurance
companies in his name, and he never even stepped foot in one of the three
treatment centers that billed in his name.
Instead, Braccia signed blank forms and patient orders,
averred to the medical necessity of testing for patients whom he never saw,
prescribed for patients he did not see, and signed blank prescription
forms. As a consequence, insurance
companies lost millions of dollars paying for care that was not provided by
Braccia, and patients did not receive the individualized medical care they
needed.
State and federal criminal charges were announced in March
2019 against eleven people and nine businesses in connection with this health
care fraud case. The investigation
revealed an array of health care fraud schemes committed by individuals
associated with Liberation Way, which is based in Yardley, Bucks County and has
two other locations in Bala Cynwyd and Fort Washington, Montgomery County. These schemes included Braccia’s over-billing
scheme as well as an elaborate kick-back scheme involving thousands of
medically-unnecessary urine tests which were sent to the Florida-based
laboratories for analysis.
“This prosecution and today’s guilty plea should send a
clear message to those seeking to build their fortunes on fraud and the despair
of individuals battling addiction:
health care fraud and the opioid epidemic are major priorities for the
United States Attorney’s Office, and your illegal actions will be uncovered and
prosecuted,” said First Assistant United States Attorney Jennifer Arbittier
Williams.
“This doctor was responsible for overseeing the medical care
of people suffering from opioid addiction, and instead he conspired to commit
fraud by signing blank prescription forms and attesting to treatment for
patients he did not see,” said Pennsylvania Attorney General Josh Shapiro. “He
did these acts to help perpetrate a massive insurance fraud that lined the
pockets of Liberation Way’s founders and co-conspirators with millions of
dollars. I am grateful for our partners in the U.S. Attorney’s Office, the FBI,
and other agencies in Pennsylvania and Florida for their hard work in bringing
this defendant to justice.”
“At Liberation Way, medical practices were shoddy and
substantive treatment minimal,” said Michael T. Harpster, Special Agent in
Charge of the FBI’s Philadelphia Division. “Dr. Braccia abrogated his
professional ethics and responsibilities in order to line his pockets and is
now being held accountable for his actions. The FBI will continue to make
health care fraud investigations a priority, to the benefit of both patients
and taxpayers.”
“This case
demonstrates the commitment of the OPM OIG, the Department of Justice, and our
law enforcement partners to ensuring that federal health care programs,
including the Federal Employees Health Benefits Program, are protected from
fraud and abuse,” said Thomas W. South, Deputy Assistant Inspector General for
Investigations, U.S. Office of Personnel Management. “I am immensely proud of the work our office
has done to not only safeguard taxpayer dollars, but also protect the health
and wellbeing of federal employees, annuitants, and their families.”
The case was investigated by the Federal Bureau of
Investigation, Department of Health and Human Services, the Office of Personnel
Management, and the Department of Labor, and is being prosecuted by Assistant
United States Attorney Nancy Beam Winter.
No comments:
Post a Comment