Another Sentenced in American Therapeutic Corporation Kickback Scheme

This week, Natalie Evans, who is the fifty year old owner of a halfway houses located in Fort Lauderdale Florida, was sentenced to 28 months in prison after pleading guilty to a single count of conspiracy to commit health care fraud. She was also ordered to pay a fine of around $250,000 and will serve 3 years of probation after release. She is the most recent in a string of convictions against those involved with the American Therapeutic Corporation(ATC) Medicare kickback scheme.

Evans is listed as the President of Vision of Hope Recovery, Inc, which was established in 2008 and is listed as a non-profit corporation in Florida. Together with the Vice President, Harvey Dixon, Evans ran five halfway houses in the Fort Lauderdale area. Most of Evans patients were recovering drug and substance abuse addicts.

According to her plea deal, Evans admitted to providing Medicare patients to American Therapeutic Corporation and American Sleep Institute(ASI), for a mental health treatment called a partial hospitalization program, or PHP. In return for providing Medicare recipients, Evans received kickbacks for each day the patient received treatment.

As per court records, Evans admitted that the patients did not need this type of treatment and that she was aware that ATC and ASI routinely billed Medicare for fraudulent treatments. She admitted to being responsible for over a half-million in fraudulent Medicare billings.

The investigation into American Therapeutic Corporation(ATC) and American Sleep Institute(ASI,) which are owned by Medlink Professional Management Group Inc, is ongoing. It is presumed to be one of the biggest Medicare fraud cases to date, responsible for over $200 million in fraudulent Medicare Billing and involving a number of owners, operators, and patient recruiters in the Florida area.

Detroit Patient Recruiter Sentenced to 30 Months

Last week, Santiago Villa-Restrepo, who plead guilty to conspiracy to commit health care fraud in November 2011, was sentenced to 30 months in Prison and has been ordered to repay nearly $3 million, with the assistance of his co-defendants.

Villa-Restrepo plead guilty to providing kickbacks to Medicare recipients who took part in medical tests at several Detroit based medical clinics. Medicare recipients allegedly signed forms stating they had undertaken treatment from these clinics and, in return, received case from Villa-Restrepo and his co-defendants.

The owners of these clinics are also charged, were allegedly complicit in this crime, which resulted in around five and a half million dollars in Medicare fraud. While Villa-Restrepo was not convicted until November 2011, the Medicare fraud dated back to 2007.

Villa-Restrepo faced up to 10 years in prison when he was originally convicted.