The national newsletter “Fraud News Daily” recently featured an article on ABA providers sentenced to prison for their ABA billing practices.
Two South Carolina women were ordered to federal prison Tuesday for their roles in a federal health care fraud in a long-running illegal scheme where a company falsely billed government health insurance programs for some $13 million for supposed care for autistic children.
Magistrate Judge Paige Gossett gave one of the ABA company executives 6 months and the other a year in prison.
Had they not pleaded guilty Tuesday to misdemeanor charges of making false statements to federal health programs Medicaid and Tricare, the government could have tried them on felony fraud charges. If they had been convicted, each stood to received a minimum sentence of about four years in prison.
Victims in the case included taxpayers, people who are forced to pay higher health care premiums because of fraud, and autistic children who lost out on getting treatment when the perpetrators submitted bills for care they didn’t get, assistant U.S. Attorney DeWayne Pearson told the judge.
Stories like create anxiety among ABA providers, even those who have taken steps to ensure that their billing practices are airtight. CASP is pleased to offer members a free webinar next week on ABA billing and healthcare fraud. Join attorney Dan Unumb, President of the Autism Legal Resource Center, for a primer on healthcare fraud law and how it applies in the autism service provider context.
ALRC Health Care Fraud and ABA Web
Healthcare Fraud and ABA Webinar