Upcoming Webinars

Site Updates

Disclaimer

The analysis of any legal or medical billing is dependent on numerous specific facts — including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. Additionally, laws and regulations and insurance and payer policies are subject to change. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. The information contained in this web site is intended as general information only. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. If you have a question about a specific matter, you should contact a professional advisor directly. CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.

Menu
Log in
Forgot password


Search
Log in
Forgot password

Greenville ABA Therapist Pleads Guilty to Making Fraudulent Statements to Medicaid in Connection with the Delivery of Autism Spectrum Disorder Services

25 Aug 2023 10:34 AM | Zachary Edgar (Administrator)

COLUMBIA, SOUTH CAROLINA —Nina Bourret, 41, of Greenville, pleaded guilty in federal court to making false and fraudulent statements on claims submitted to Medicaid. 

Evidence obtained in the investigation revealed that Bourret was an owner of Agapi Behavior Consultants, Inc., which provided Applied Behavior Analysis therapy to treat Autism Spectrum Disorder.  From February 2021 to December 2022, Bourret submitted electronic claims to Medicaid on behalf of Agapi falsely and fraudulently certifying that services had been rendered and/or certifying that services had been rendered in excess of what was actually provided to the beneficiary.

The investigation has revealed Bourret and Agapi submitted claims to Medicaid that contained false and fraudulent statements in excess of $900,000.00.

Bourret faces a maximum penalty of 5 years in federal prison. She also faces a fine of up to $250,000, restitution, and 3 years of supervision to follow the term of imprisonment.  Senior United States District Judge Henry Michael Herlong, Jr. accepted the guilty plea and will sentence Bourret after receiving and reviewing a sentencing report prepared by the U.S. Probation Office.

Reference

Department of Health and Human Services

Office of Inspector General


About Us

Therapy Comply is a healthcare compliance firm that seeks to bring high quality web-based compliance guidance and one-on-one consulting services to small and medium size physical, occupational, and speech therapy practices.

Learn More 

Join Us

Join today as either a monthly or a yearly member and enjoy full access to the site and a significant discount to our live and recorded webinars.  Members also have access to compliance and billing support.

Join Today 

Find Us


Powered by Wild Apricot Membership Software