Former Health Clinic CEO Found Guilty of Medicaid Fraud | Takeover bid
A federal jury has convicted a former health clinic CEO of defrauding Louisiana’s Medicaid program for several years.
According to court documents and evidence presented at trial, Victor Clark Kirk, 73, of Baton Rouge, Louisiana, was the CEO of St. Gabriel Health Clinic Inc. (St. Gabriel), a Louisiana nonprofit corporation which provided Medicaid health care services. recipients and others. St. Gabriel was a Federally Licensed Health Center (FQHC) that contracted with the Iberville Parish School Board to provide medical services in the school district. As an FQHC, Saint-Gabriel could provide primary care services to students as well as services related to the diagnosis and treatment of mental illnesses – provided these services are medically necessary – among other requirements.
Evidence at trial showed that St. Gabriel practitioners, under Kirk’s direction, provided character development and other educational programs to entire classes of students during regular class times. Kirk then caused these programs to be fraudulently billed to Medicaid as group psychotherapy. To facilitate the fraudulent scheme, Kirk ordered that St. Gabriel practitioners misdiagnose students with mental health conditions. From 2011 to 2015, Kirk caused over $1.8 million in fraudulent claims for alleged group psychotherapy services.
Kirk was convicted of conspiracy to commit health care fraud and five counts of health care fraud. He is expected to be sentenced on January 12, 2023 and faces a maximum sentence of 10 years in prison per count. A federal district court judge will determine any sentence after considering US sentencing guidelines and other statutory factors.
Assistant Attorney General Kenneth A. Polite, Jr. of the Justice Department’s Criminal Division; U.S. Attorney Ronald C. Gathe, Jr. for the Central District of Louisiana; Special Agent in Charge Douglas A. Williams, Jr. of the FBI Field Office in New Orleans; director Jodi Edmonds LeJeune of the Louisiana Medicaid Fraud Control Unit (MFCU); and Acting Special Agent in Charge Jason Meadows of the Department of Health and Human Services, Office of Inspector General (HHS-OIG) made the announcement.
The FBI, MFCU, and HHS-OIG investigated the case, which was brought under the Gulf Coast Strike Force, overseen by the Criminal Division’s Fraud Section and the U.S. District Attorney’s Office. Louisiana Intermediate.
Deputy Chief Justin M. Woodard and Trial Attorney Kelly Z. Walters of the Criminal Division’s Fraud Section and Assistant U.S. Attorney Kristen L. Craig for the Louisiana Intermediate District are prosecuting the case.
The Health Care Fraud Strike Force is part of a joint initiative between the Department of Justice and HHS to focus their efforts on preventing and deterring fraud and enforcing applicable anti-fraud laws nationwide. Since its inception in March 2007, the Health Care Fraud Strike Force, which maintains 16 strike forces operating in 27 districts, has charged nearly 4,000 defendants who have collectively billed the Medicare program more than $14 billion. Additionally, the HHS Centers for Medicare and Medicaid Services, together with the HHS-OIG, are taking steps to increase accountability and reduce the presence of fraudulent providers.