Owners of Psychological Services Centers Convicted in $25 Million Medicare Fraud Scheme
The defendants' contracted with nursing homes to provide psychological services to residents—services that were not needed and often never provided
Two owners of psychological services companies, one of whom was a clinical psychologist, were convicted this week for their involvement in a $25.2 million Medicare fraud scheme carried out through eight companies at nursing homes in four states in the Southeastern United States.
According to the U.S. Department of Justice (USDOJ), Rodney Hesson and Gertrude Parker were both convicted following a seven-day jury trial in the Eastern District of Louisiana. Hesson is a licensed clinical psychologist and owner of Nursing Home Psychological Service of Louisiana LLC, Nursing Home Psychological Service of Mississippi LLC, Nursing Home Psychological Services of Florida LLC, and Nursing Home Psychological Service of Alabama LLC (collectively NHPS). Parker is the owner of Psychological Care Services of Louisiana, Psychological Care Services of Mississippi, Psychological Care Services of Alabama, and Psychological Care Services of Florida (collectively PCS).
Hesson and Parker were each convicted of one count of conspiracy to commit health care fraud and one count of conspiracy to make false statements related to health care matters. The jury verdict included a money judgment of $8,956,278, as well as forfeiture of Hesson's home and at least $525,629 in seized currency. A sentencing hearing for both defendants is set for May 4, 2017 before U.S. District Court Judge Carl J. Barbier of the Eastern District of Louisiana.
According to evidence presented at trial, the defendants' companies contracted with nursing homes in Alabama, Florida, Louisiana, and Mississippi to allow NHPS and PCS clinical psychologists to provide psychological services to nursing home residents. Hesson and Parker caused these companies to bill Medicare for hours of psychological testing services that these nursing home residents did not need or in some instances did not receive. Between 2009 and 2015, NHPS and PCS submitted over $25.2 million in claims to Medicare, a significant amount of these claims being fraudulent. Medicare paid more than $13.5 million on the fraudulent claims.
The Federal Bureau of Investigation (FBI) and the Office of Inspector General of the U.S. Department of Health & Human Services (HHS-OIG) investigated the case, which was brought by the Medicare Fraud Strike Force, under the supervision of the USDOJ Criminal Division's Fraud Section and the U.S. Attorney's Office for the Eastern District of Louisiana.
The Fraud Section leads the Medicare Fraud Strike Force. Since its inception in March 2007, the Medicare Fraud Strike Force, now operating in nine cities across the country, has charged over 3,000 defendants who collectively have billed the Medicare program for over $11 billion. In addition, the HHS Centers for Medicare & Medicaid Services, working in conjunction with the HHS-OIG, are taking steps to increase accountability and decrease the presence of fraudulent providers.