Minnesota Couple Indicted in $15 Million Medical Billing Fraud Scheme

MINNEAPOLIS, Minnesota, April 10 -- The office of the U.S. Attorney for the District of Minnesota issued the following news release:

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Minnesota Couple Indicted in $15 Million Medical Billing Fraud Scheme

MINNEAPOLIS - An indictment was unsealed today alleging that Gabriel Langford and Elizabeth Brown, a Minnesota couple, engaged in a $15 million scheme to defraud Medicare, Medicaid, and other insurers by overbilling for neurofeedback therapy, following the couple's arrest and initial appearances in Las Vegas, Nevada, announced Acting U.S. Attorney Lisa D. Kirkpatrick.

According to court documents, beginning in 2018, Gabriel Adam Alexander Luthor, a.k.a. Gabriel Adam Alexander Langford, 39, and Elizabeth Christine Brown, 42, intentionally devised and carried out a scheme to overbill Medicare, Medicaid, and other insurers for medical services provided through Golden Victory Medical, LLC (GVM). Luthor and Brown were in a relationship, and together founded GVM in 2018.

According to court documents, one of the main medical services GVM claimed to provide was neurofeedback therapy. During neurofeedback therapy, a medical provider places sensors on a patient's scalp to obtain images of the patient's brain waves, for the purpose of indicating the effects of interventions meant to treat mental-health conditions. But according to the indictment, Luthor and Brown fraudulently overbilled insurers for GVM's neurofeedback services using numerous inapplicable medical codes.

For example, GVM repeatedly submitted claims to insurers using medical codes that did not cover the neurofeedback services that GVM provided, combinations of codes that by definition could not be combined, and codes that indicated that GVM's patients received a longer duration of services than the company had actually provided. Luthor and Brown caused GVM to continue submitting false claims even after repeated warnings from insurers, an outside auditor, and the Center for Medicare and Medicaid Services.

In total, GVM submitted hundreds of thousands of false claims to insurers, many of which the insurers paid, resulting in an estimated loss of over $15 million. Millions of dollars in fraudulent proceeds were transferred from bank account to bank account and ultimately retained by Luthor and Brown. Luthor and Brown used the funds to purchase a mansion in Eden Prairie and to pay their living expenses and the living expenses of other girlfriends of Luthor's, who lived with Luthor and Brown and assisted in the fraud scheme.

"Minnesota has a fraud problem," said Acting U.S. Attorney Lisa D. Kirkpatrick. "This case is yet another example of defendants defrauding government programs out of millions. This type of widespread fraud is unacceptable and will not be tolerated."

"Defrauding critical healthcare programs like Medicaid and Medicare burden systems designed to serve patients and puts them at risk," said Special Agent in Charge Alvin M. Winston Sr. of FBI Minneapolis. "The FBI and our partners will not tolerate those who abuse the healthcare system for personal gain and will pursue justice on behalf of taxpayers and patients."

Luthor and Brown are each charged with six counts of wire fraud and one count of money laundering. They made their initial appearances in U.S. District Court in the District of Nevada earlier this week.

This case is the result of an investigation conducted by the U.S. Postal Inspection Service, the Federal Bureau of Investigation, the Eden Prairie Police Department, the U.S. Department of Health and Human Service's Office of Inspector General, and the U.S. Marshals Service.

Assistant U.S. Attorney Matthew D. Forbes is prosecuting the case.

An indictment is merely an allegation, and the defendants are presumed innocent until proven guilty beyond a reasonable doubt in a court of law.

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Original text here: https://www.justice.gov/usao-mn/pr/minnesota-couple-indicted-15-million-medical-billing-fraud-scheme-0