|A meeting to discuss strategy.|
The companies worked together to bill Medicare for unnecessary services or services they never provided.
"It can come as no surprise that the number of consumers who are in need of some type of treatment for either emotional or behavioral disorders has reached alarming proportions." - From the ATC website.
|Marianella Valera, CEO and President, from the company's website.|
How did they do it?
"Sadly these disorders negatively affect their thinking, feeling, and judgment with enormous adverse personal and societal consequence."
"On a brighter note, American Therapeutic Corporation has placed itself in a position to provide a wide range of behavioral services, therapeutic educational services and social services to address the needs of these consumers."
One employee said some of these patients were not eligible and she discharged them. She was fired, and the patients were readmitted.
"As an existing service provider, American Therapeutic Corporation is poised to extend services beyond assessment to include crisis intervention, intensive therapeutic outpatient services, diagnostic evaluation, outpatient therapy, partial hospitalization program and family support."
Of course, those tests were also reimbursed by Medicare.
The company also created bogus medical records, faked patient symptoms, forged physician signatures, made up psychiatric evaluations, and said that treatments were given when they were not.
And all the fraudulent bills were paid by Medicare.
"American Therapeutic Corporation has been providing behavioral health services in Dade, Broward and Palm Beach County for over five years."
Of the two defendants pleaded guilty, Marianella Valera was sentenced to 35 years in prison and Lawrence Duran was sentenced to 50 years.
American Therapeutic Corporation website, which may not remain active for very long>>
Medicare fraud case in Florida, Christian Science Monitor>>
A Miami mental-health executive was sentenced to 35 years in prison on Monday for her role in a $205 million healthcare fraud scheme. Reuters>>