Posted: Thursday, August 15th 2013 at 12:50pm
Gainesville man pleads guilty to Medicaid Fraud
By Derreck Booth Editor
GAINESVILLE - A Gainesville man faced sentencing under the first offender act this week after pleading guilty to one count of Medicaid fraud.
According to Georgia Attorney General Sam Olens' Office, David Brannon received nearly $150,000 from Georgia Medicaid through fraudulent billing.
In sentencing Tuesday, Hall County Superior Court Judge Kathlene Gosselin sentenced Brannon to five years probation, a $2000 fine and 100 hours community service. Brannon has already paid full restitution, according to Olens' office.
The case stemmed from Brannon's practice, Brannon Pediatrics. According to the state, a former therapist at the practice told the state Brannon submitted claims using her assigned provider number for services she didn't perform. She also claimed he had used her number to file claims after she left the company. The state said records from other therapists showed similar activity.
During an audit in July of 2011, prosecutors said Brannon admitted to billing Medicaid from a scheduling sheet without knowing whether the scheduled services had been rendered.
The state also said he admitted not telling Medicaid when services billed had not been rendered and submitting upcoded billing reflecting higher level procedure codes, when lower level procedure codes were performed, documented and submitted by the therapist.
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