Doctor Robert Williams Indicted for Submitting Fraudulent Bills to Medicare and Medicaid

Source- http://atlanta.fbi.gov/dojpressrel/pressrel11/at030411.htm

ATLANTA, GA—ROBERT WILLIAMS, 72, of Atlanta was arraigned today before United States Magistrate Judge C. Christopher Hagy on federal healthcare fraud charges.

United States Attorney Sally Quillian Yates said, “As a physician, this defendant had a duty to protect his patients and look out for their interests first. He has been charged with crimes that reflect his misuse of his position and the trust placed in him, all at the expense of his elderly patients, Medicare and Medicaid.”

“Dr. Williams allegedly stole Medicaid funds that were specifically allocated for the care of some of Georgia’s most vulnerable citizens: the elderly,” said Georgia Attorney General Sam Olens. “Our office is committed to protecting Georgia taxpayers and the recipients of Medicaid by aggressively pursuing prosecutions of Medicaid fraud.”

Brian D. Lamkin, Special Agent in Charge, FBI Atlanta Field Office, stated, “Healthcare fraud in the U.S. costs consumers billions of dollars, irrespective of whether the victim is the U.S. Government in the form of Medicaid/Medicare fraud, or healthcare insurance companies. Healthcare providers exhibiting sheer greed through extensive fraudulent billing, such as the allegations in today's indictment of Dr. Williams, are driving up healthcare costs and are depriving those that really need medical help as provided by these government funded programs.”

According to United States Attorney Yates, the charges and other information presented in court: WILLIAMS is a licensed physician, practicing in the Atlanta area. From approximately July 2007 through October 2009, he contracted with a medical services company to provide group psychological therapy to nursing home patients in a variety of nursing homes. Under his signature, thousands of claims were submitted to Medicare and Georgia Medicaid seeking reimbursement for group psychological therapy that WILLIAMS purportedly provided to beneficiaries at several nursing homes in the Atlanta area. In many instances, however, WILLIAMS did not actually provide the therapy.

From July 2007 through October 2009, Medicare claims data indicate that over 55,000 claims were submitted on behalf of WILLIAMS for group psychological therapy seeking reimbursement for over $2,000,000, and ultimately causing Medicare to reimburse WILLIAMS over $750,000. For the same time period, over 40,000 Medicaid claims were on behalf of WILLIAMS for group psychological therapy, causing Georgia Medicaid to pay out over $225,000.

A review of WILLIAMS’ claims showed, however, that in many cases, he sought payment for services provided to beneficiaries who were deceased at the time he purportedly rendered the care. In two cases, the patient died over a year before they were allegedly seen by WILLIAMS in the nursing home. Numerous claims were submitted to Medicare and Medicaid for group psychological therapy when the beneficiary was hospitalized at the time of service and, consequently, could not have received care at the nursing home as represented.

The charges carry a maximum sentence of 10 years in prison and a fine of up to $250,000. In determining the actual sentence, the Court will consider the United States Sentencing Guidelines, which are not binding but provide appropriate sentencing ranges for most offenders. WILLIAMS was indicted by a federal grand jury on February 22, 2011.


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