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Bell Sentenced for Role in Felony Medicaid Fraud
Scheme
Company Received More Than $4,000,000 for Services Never Rendered
BALTIMORE, MD (November 19, 2007) - Maryland Attorney General
Douglas F. Gansler announced today that Guy Anthony Bell, 44, of
the 2700 block of Tallow Tree Road in Woodstock, was sentenced
to 27 months in jail for his role in billing the Medicaid program
for more than $4,000,000 for services that were never performed.
Baltimore City Circuit Court Judge Albert J. Matriccani, Jr. sentenced
Bell to four years in jail with all but 27 months suspended, and
five years probation after his release from prison.
From October, 2002,
until April, 2004, Bell served as the 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 had enrolled over 1,200
children. However, the company never had enough rehabilitation
counselors to provide the required services to its clients. Under
the direction of Bell, Bridges billed for services without any
regard to whether the services were actually provide. Bell directed
that Bridges 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. Because of
Bell’s actions, Bridges collected almost $3,000,000 for services
it never performed. Bell took home over $1,000,000 from his work
at Bridges.
Bell also directed
the billing for psychotherapy, a high level intensive form of
mental health care. Despite having almost no
licensed therapists, Bridges 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, Bridges billed
for over 30 sessions per recipient. Bridges unlicensed therapists
confirmed that they did not provide the services for which Bridges
billed. 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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