Louisiana, Bossier. – United States attorney Tyson G. Seth confirmed that two individuals from northwest Louisiana who owned and operated the Positive Impact Counseling Agency LLC were convicted, despite being prosecuted in contravention of the statute, with the inaccurate payment of Healthcare for about $8 million.
The promoter and founder of Positive Difference, Peterson M. Walter, 57, of Bossier, was charged by one charge of bribery for theft and wire abuse, the company’s overseer and corporate officer, Ward Orion, 42, of the Bossier City of Louisiana and the 47 cases of theft in the medical care and wire categories .. Kayson also faces a kickback limit.
Positive Action alleged that health care had paid $8992,347 from October 2014 to February 2018 for rarely given medical counseling, housing, and other associated resources of behavioral health and welfare. Kayson and his team recruited clients for psychological health and other medical health services to support programs in order to carry out the project. To exchange for enrolment to other services, Kayson charged for those consumers’ kickbacks. Kayson also collected health care details from potential customers and their families and Medicaid was invoiced for facilities that were not provided without the consent of potential customers.
In Medicaid, Kayson and Orion billing: produced fake documentation stating that Positive Chang did not provide a program; wrongly identified qualified and specialized professional staff as care suppliers to cause a higher rate of Medicaid payment; and utilized inaccurate, fabricated or inflated claims for mental wellbeing in order to receive more payments.
If guilty of bribery, drug theft, and cord abuse, the suspects face up to 20 years in jail. With illicit kickbacks, Kayson still faces a jail sentence of 10 years. The convicted was therefore subject to a $250 000 penalty, imprisonment, rehabilitation for up to five years of supervised release. Arraignment for 10 September 2019 is set.
The probe was pursued by the United States Bureau of healthcare and social Resources and by the Federal Bureau of Investigation as well as the Department of the Louisiana Prosecutor, Medicaid Abuse Monitoring Team. The lawsuit is handled by deputy United States attorneys Hendrix M. Cruz and Joaquin Jonathan.
We should be extremely cautious about those who defraud their position and adventure in our veterans ‘and all citizens’ human-service programs Embezzlement in Healthcare Schemes often goes unnoticed unless it has been discovered and revealed by a whistle-blower. In some specific circumstances, whistle-blowers who come forward with the documentation to prevent the fraud may get a prize from retrieved financial resources by litigation under the false allegations act. Please reach the Healthcare Fraud Group confidentially through 888-402-4054 if you have any evidence that an individual or organization is defrauding federal government services and would like to speak to us.