A federal jury convicted a Florida lady today in a health care fraud scheme that billed personal health insurance providers more than $58 million for services that were never ever offered and were not medically required.
According to court files and proof provided at trial, Carie Lyn Beetle, 44, of Lake City, with others, unlawfully billed health insurance providers for over $58 million of addiction treatment services that were never ever rendered and/or were medically unneeded at 2 centers she ran: Reality Recovery Delray LLC (RLR), a substance abuse treatment center, and A Safe Location LLC, dba Halfway There Florida LLC (HWT), an associated recovery home, likewise referred to as a “sober house.”
The proof revealed that Beetle and her co-conspirators hired patients by offering them with kickbacks and kickbacks in the kind of complimentary or minimized lease, payment for travel, and other benefits in exchange for those patients concurring to live at HWT, go to drug treatment at RLR, and send to routine and random drug screening (usually 2 or 3 times each week) at RLR and HWT. Beetle and her co-conspirators then billed the patients’ insurance plans for the substance abuse treatment and urine screening services the patients were supposedly getting. In numerous circumstances, individual patients did not go to the billedtreatment session On such celebrations, Beetle and her co-conspirators triggered staff members and patients of HWT/RLR to create patients’ signatures on sign-in sheets to make it look like though missing patients had actually gone totreatment In addition, Beetle and her co-conspirators triggered costly medically unneeded urine screening to be billed for patients understanding that the tests were extreme, not used in treatment, and not examined by medical professionals.
The proof even more revealed that Beetle washed the profits understanding they originated from fraud and other criminal offenses when she transferred a check from RLR.
Beetle was convicted of one count of conspiracy to devote health care fraud and wire fraud, and one count of cash laundering. She is arranged to be sentenced later on this year and deals with an optimal sentence of twenty years in jail on the conspiracy count and up to ten years in jail on the cash laundering count. A federal district court judge will identify any sentence after thinking about the U.S. Sentencing Standards and other statutory aspects.
Assistant Attorney General Of The United States Kenneth A. Polite, Jr. of the Justice Department’s Lawbreaker Department; Assistant Director Luis Quesada of the FBI’s Lawbreaker Investigative Department; Unique Representative in Charge George L. Piro of the FBI’s Miami Field Workplace; Deputy Chief James D. Robnett of IRS-Criminal Examination (IRS-CI); and Unique Representative in Charge Matthew D. Line of IRS-CI’s Miami Field Workplace made the statement.
The FBI, IRS-CI, the Florida Bureau of Insurance Fraud, and Amtrak Workplace of Inspector General examined the case.
Senior Lawsuits Counsel Jim Hayes and Trial Lawyer Ligia Markman and Reginald Cuyler Jr. of the Lawbreaker Department’s Fraud Area are prosecuting the case.
The National Rapid Action Strike Force and Los Angeles Strike Force lead the Department of Justice’s Sober Houses Effort, which was revealed in the 2020 National Health Care Fraud Takedown to prosecute offenders who make use of susceptible patients looking for treatment for drug and/or alcohol addiction