Former CEO of Health Clinic Convicted of Medicaid Fraud | OPA

A federal jury convicted a previous CEO of a wellbeing clinic for defrauding the Louisiana Medicaid Method over many a long time. 

In accordance to court paperwork and evidence offered at trial, Victor Clark Kirk, 73, of Baton Rouge, Louisiana, was the CEO of St. Gabriel Wellness Clinic Inc. (St. Gabriel), a Louisiana nonprofit corporation that delivered wellbeing treatment solutions to Medicaid recipients and others. St. Gabriel was a federally skilled health and fitness centre (FQHC) that contracted with the Iberville Parish College Board to present clinical expert services inside the university district. As a FQHC, St. Gabriel could present key care companies to pupils as nicely as expert services associated to the diagnosis and cure of psychological diseases – offered that this kind of companies had been medically needed – between other specifications.

Evidence at demo showed that St. Gabriel practitioners, at Kirk’s path, supplied character enhancement and other academic packages to overall classrooms of pupils in the course of normal class periods. Kirk then caused the fraudulent billing of these programs to Medicaid as team psychotherapy. To aid the fraudulent plan, Kirk directed that St. Gabriel practitioners falsely diagnose learners with mental wellness diseases. From 2011 by means of 2015, Kirk triggered more than $1.8 million in fraudulent claims for purported team psychotherapy companies.

Kirk was convicted of conspiracy to commit health treatment fraud and 5 counts of wellness treatment fraud. He is scheduled to be sentenced on Jan. 12, 2023, and faces a greatest penalty of 10 many years in jail per count. A federal district courtroom choose will decide any sentence right after thinking of the U.S. Sentencing Recommendations and other statutory factors.

Assistant Attorney General Kenneth A. Polite, Jr. of the Justice Department’s Prison Division U.S. Lawyer Ronald C. Gathe, Jr. for the Center District of Louisiana Exclusive Agent in Demand Douglas A. Williams, Jr. of the FBI New Orleans Discipline Workplace Director Jodi Edmonds LeJeune of the Louisiana Medicaid Fraud Command Device (MFCU) and Performing Unique Agent in Demand Jason Meadows of the Office of Health and Human Providers, Business office of the Inspector Standard (HHS-OIG) designed the announcement.

The FBI, MFCU, and HHS-OIG investigated the case, which was introduced as part of the Gulf Coast Strike Power, supervised by the Felony Division’s Fraud Segment and the U.S. Attorney’s Place of work for the Center District of Louisiana.

Assistant Chief Justin M. Woodard and Trial Attorney Kelly Z. Walters of the Prison Division’s Fraud Section and Assistant U.S. Attorney Kristen L. Craig for the Middle District of Louisiana are prosecuting the case.

The Wellbeing Treatment Fraud Strike Drive is element of a joint initiative in between the Department of Justice and HHS to target their initiatives to avoid and prevent fraud and implement present anti-fraud legislation close to the region. Given that its inception in March 2007, the Wellness Treatment Fraud Strike Force, which maintains 16 strike forces operating in 27 districts, has billed virtually 4,000 defendants who have collectively billed the Medicare plan for far more than $14 billion. In addition, the HHS Facilities for Medicare & Medicaid Products and services, doing the job in conjunction with HHS-OIG, are using steps to maximize accountability and lower the presence of fraudulent companies.

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