Addiction recovery chain charged with health care fraud

PROVIDENCE – The Massachusetts operator of a chain of addiction treatment clinics has been charged in federal court in Providence with millions of dollars of health care fraud, aggravated identity theft, money laundering and obstruction, announced Rhode Island United States Attorney Zachary A. Cunha Thursday.

The treatment center and its former supervisory counselor were also charged with health care fraud.

Michael Brier, 60, of Newton, Mass., Mi Ok Bruining, 62, of Warwick, R.I., and Recovery Connections Centers of America Inc. are charged by criminal complaint with health care fraud. Brier was also charged in the complaint with aggravated identity theft, money laundering and obstruction, according to a press release.

The Recovery Connection Centers of America's website states it has locations in Attleboro, Brockton, Burlington, Dartmouth, Dedham, Fall River, Hyannis, Natick, Pawtucket, Plymouth, Providence, Roslindale, Springfield, Taunton and Worcester.

Proposed New Bedford

site was denied

RCC had petitioned to open a clinic in downtown New Bedford at 270 Union St., but a special permit was denied by the New Bedford Zoning Board of Appeals last November because of parking concerns. The chain has a clinic located at 10 President Ave., Fall River.

It is alleged in court documents that, Brier, Bruining, and RCCA shortchanged Rhode Island and Massachusetts substance abuse disorder patients out of much needed counseling and treatment services, while defrauding Medicare, Medicaid, and other health insurers out of millions of dollars.

Cunha said, "What makes the fraud scheme that we have charged today particularly pernicious – is that not only was this scheme, as we allege, designed to defraud by enriching these defendants with federal and private healthcare dollars they did not earn, but that in the process it cheated a vulnerable population of recovery patients out of the full, genuine support and treatment that they need to have a chance at recovery."

How patients can get help

The Massachusetts Department of Public Health, Bureau of Substance Addiction Service is working to assure continuity of care and treatment for RCCA patients. Massachusetts patients in need of a new or immediate bridge prescription are urged to call 617-414-4175; Massachusetts patients in need of behavioral health referrals for physicians, counselor, or other services may call 800-327-5050 or use helplinema.com

Rhode Island Department of Behavioral Healthcare, Developmental Disabilities and Hospitals is working to assure continuity of treatment for RCCA patients. Rhode Island patients in need of behavioral health referrals for physicians, counselor, or clinic information may call 410-414-LINK.

Allegedly billed for treatment, counseling that was not provided

According to the charging documents, Brier, Bruining and RCCA operated a chain of addiction treatment centers but failed to provide the patients with the required counseling sessions and treatment, while simultaneously billing Medicare, Medicaid and other health care payors for 45-minute counseling sessions on a routine basis even though the sessions were not more than 15 minutes, and often only 5-10 minutes or less. At times, so many counseling sessions were billed at this level that the total amount of time would be impossible for the available therapist to have provided in any 24-hour period.

Brier and RCCA are also alleged to have caused a fraudulent application to be submitted to Medicare which, among other things, misrepresented and concealed the role that Brier was playing in the business and failed to disclose Brier's 2013 criminal conviction for federal tax crimes, which was relevant to Medicare's consideration of the application.

The complaint also alleges that Brier purported to practice medicine and wrote and caused to be filled fraudulent prescriptions using the names and prescriber information, including Drug Enforcement Administration numbers, of doctors without their permission.

Brier is also alleged to have falsified a document in a matter within the jurisdiction of an agency of the United States by causing the medical director to sign a false and back-dated document.

Millions of dollars in

fraudulent billings alleged

The complaint alleges that defendants caused millions of dollars in fraudulent billings to be submitted to Medicare and millions more in fraudulent billings to other health care payors.

The government is also seeking to forfeit 13 bank accounts, two buildings, and two vehicles allegedly realized by the defendants as a result of the alleged criminal conduct.

A federal criminal complaint is merely an accusation. A defendant is presumed innocent unless and until proven guilty.

The case is being prosecuted by Assistant United States Attorneys Sara Miron Bloom and Kevin Love Hubbard.

The matter was investigated by the U.S. Department of Health and Human Services, Office of Inspector General and the Federal Bureau of Investigation.

"Today, we arrested and charged Michael Brier, Mi Ok Bruining, and Recovery Connections Centers of America, for a wide-ranging scheme in which they are accused of abusing our health care system, cheating taxpayers, and leveraging the opioid crisis to take advantage of those struggling with substance abuse so the company could rake in millions," said Joseph R. Bonavolonta, special agent in charge of the FBI Boston Division.

He added, "The allegations set forth in this case represent one of the most brazen and egregious examples of health care fraud the FBI has seen here in Rhode Island in recent history, and make no mistake, it is not a victimless crime. Anytime the integrity of our federal health care programs is undermined, we all pay the price through the cost of higher insurance premiums, greater out-of-pocket expenses, and co-pays, and even reduced or lost benefits."

Cunha also thanked the United States Department of Health and Human Services and the Centers for Disease Control, and their partners in Rhode Island and Massachusetts, for their quick response to establish services for patients who may be impacted by this law enforcement action.