La. U.S. Attorney: Owner of Counseling Agency and Supervising Manager Sentenced on Healthcare and Wire Fraud Charges
Johnson, 59, of
On
According to information presented to the court, Johnson owned and operated
Johnson admitted to paying individuals money to enroll with Positive Change, increasing the capacity for Positive Change to bill Medicaid for services that were not rendered. Johnson instructed employees, and Dinkins supervised those employees, at Positive Change to create false client files to conceal from Medicaid and insurance company auditors and inspectors that it had not performed the services related to its previously submitted claims which had already been reimbursed by Medicaid. In order to create these false client files, sections from different client documents were physically cut to create inserts which were glued into blank client log templates. These templates with the glued inserts were then photocopied to create the appearance of legitimate documents. Johnson and Dinkins supervised and knowingly and willfully instructed the employees that were creating these false client files to place the false and fictitious photocopied, cut and pasted, documents into the client files. Johnson and Dinkins knew that these false client files were used to conceal from Medicaid officials that Positive Change did not render the services in the claims submitted by it and paid by Medicaid.
In addition, Johnson knowingly caused Positive Change to use Medicaid recipients' names and identification information without their knowledge or consent to submit fraudulent claims for mental health rehabilitation and non-emergency transportation.
The case was investigated by the
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