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Bell Pleads Guilty to Felony Medicaid Fraud
Company Received More Than $4,000,000 for Services Never Rendered
BALTIMORE, MD (September 20, 2007) - Maryland Attorney General
Douglas F. Gansler announced today that Guy Anthony Bell, 44, of
the 2700 block of Tallow Tree Road in Woodstock, pled guilty in
the Circuit Court for Baltimore City to two counts of felony Medicaid
Fraud for his role in billing the Medicaid program for more than
$4,000,000 for services that were never performed. In all, Mr.
Bell knowingly directed his employees to submit over 20,000 false
statements to the Medicaid Program. As a result of the plea agreement,
Bell will receive a jail sentence of between 24 and 30 months and
will be required to make restitution payments. Sentencing is set
for November 15, 2007.
From October, 2002,
until April, 2004, Bell served as chief financial officer for
The Bridges Project, a provider of psychiatric rehabilitation
and therapy for children and adults in Baltimore City. At its peak,
The Bridges Project enrolled over 1,200 children. However, the
program never had enough rehabilitation counselors to provide the
required services for its children. Under the direction of Bell,
Bridges billed for services without any regard to whether the services
were actually provided. He directed that the company bill every
client two, three or four times a week, even clients to whom no
counselor had been assigned. As a result, billing records from
the Mental Hygiene Administration (MHA), a Medicaid agency, showed
that Bridges billed for nearly 50,000 hours of rehabilitation services
that it did not provide. As a result of Bell’s actions, the
company collected almost $3,000,000 for services it never performed.
Bell also directed
the billing for psychotherapy, a high level intensive form of
mental health care. Despite having almost no
licensed therapists, the company billed the Medicaid program for
providing over 9,000 hours of psychotherapy, none of which was
permitted to be performed by unlicensed persons. In addition, Bridges’ own
records revealed that less than one-half of the therapy sessions
billed ever took place. Several Bridges recipients indicated that
although they were only seen four or five times, the company billed
for over 30 sessions per recipient. Bridges’ unlicensed therapists
confirmed that they did not provide the services for which the
company billed the State. The State paid Bridges over $1,000,000
for therapy sessions that never occurred.
The case was prosecuted
by the Medicaid Fraud Control Unit (MFCU) of the Maryland Attorney
General’s Office upon a referral
from the Mental Hygiene Administration.
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