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Connecticut Therapist Arrested for Involvement in Wide-Ranging Health Care Fraud Scheme

pexels-cottonbro-4101143-300x200A Connecticut therapist was arrested and charged last week for his alleged involvement in a wide-ranging health care fraud scheme that billed Medicaid for therapy services that were never provided.

Cortney Dunlap, 36, of Avon, was charged with health care fraud and making false statements relating to health care matters. He was released on $100,000 bond. The press did not name an attorney for him.

According to the federal criminal complaint, the accused is a licensed professional counselor who orchestrated a scheme to defraud Medicaid by filing fraudulent claims for therapy sessions he never provided.

He allegedly billed Medicaid for more than 24 hours of therapy sessions on 67 different days between January and April 2020, and for 60-minute therapy sessions, he reportedly provided to 44 individual patients every day from February 13 to March 19, 2020. He additionally billed Medicaid for sessions he provided while he was on a cruise in the Bahamas in July 2019, according to the complaint.

The therapist from Connecticut is also accused of billing Medicaid for fraudulent therapy services he offered through his company, Inspirational Care, Inc., which provides community-based and in-home services to people with disabilities. Through Inspirational Care, he operated group homes in five locations in the state, which included homes for women and children who are victims of violence or domestic abuse.

He allegedly required the residents of Inspirational Care’s group homes to provide him with copies of their and their children’s Medicaid ID cards when they signed housing agreements. He then used that information to bill Medicaid for therapy services he never provided to residents of two group homes in Hartford, the complaint claims.

The accused therapist was suspended as a Medicaid provider in April 2020, sources indicate. He reportedly hired a licensed clinical social worker shortly after and used that person’s Medicaid provider number to continue the alleged fraud scheme and file claims for therapy sessions that were never provided.

Most healthcare fraud cases are based on the theory that a medical provider or healthcare business has submitted fraudulent billing claims to Medicare, Medicare, or a private insurance provider. Since billing mistakes are common in the healthcare industry, allegations of fraud must be widespread, systematic, and financially significant for the government to step in and launch an investigation.

Regardless of your role in the healthcare industry, a fraud charge is an extremely serious matter that can result in significant civil or criminal penalties. A critical early step is to determine the scope and nature of the allegations against you. Until you know why the government is targeting your business or practice, you will have no way of mounting an effective defense. This is why it is crucial for medical professionals accused of committing health care fraud to hire an experienced fraud defense attorney. Such an individual can cultivate a good defense on your behalf and ensure your professional standing is protected.

South Florida Fraud Defense Attorney

Are you accused of committing fraud in South Florida? Contact Brian Silber, P.A. to set up a free initial consultation with one of South Florida’s most experienced fraud defense attorneys.

Source: 10.15.20 Avon man allegedly involved in health care fraud schemes arrested.pdf

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