Owner/Operator of Drug/Alcohol Counseling Service
Pleads Guilty to Health Care Fraud
DALLAS—A Dallas woman, Rebecca
Swanson, who owned and operated a drug and alcohol
counseling service in Dallas, pled guilty today in
federal court to health care fraud and aiding and abetting,
announced U.S. Attorney Richard B. Roper of the Northern
District of Texas. Swanson faces a maximum statutory
sentence of 10 years in prison, a $250,000 fine, and
restitution arising from all relevant conduct.
A federal grand jury indicted Swanson in February
on one count of conspiracy to commit health care fraud
and four counts of health care fraud, and a warrant
was issued for her arrest. In May she was arrested,
and she has been in federal custody since that time.
From April 2001 to August 2003, Swanson owned and
operated Life Share Therapy Foundation (LSTF),
a counseling services business located first in Dallas
and then later in Lancaster, Texas. She made financial
decisions for the business and controlled LSTF's
bank account. In May 2001, LSTF was granted a
Texas Medicaid provider number and was approved by
Medicaid to render counseling services through a Medicaid
program
known as School Health and Related Services (SHARS).
Services available under SHARS included counseling
for children
who had suffered emotional, psychological, or other
forms of abuse. Medicaid reimbursed providers
of such counseling a preset rate for each 15-minute
segment of counseling services rendered.
From May 2001 through August 2003, Swanson, using
LSTF's Medicaid provider number, executed a scheme
to defraud Texas Medicaid by submitting fraudulent
claims
falsely representing that LSTF had provided individual
counseling services through SHARS to Medicaid clients,
when in fact, they had not. Swanson's fraudulent
claims also falsely represented that the Medicaid clients
for whom the claims were submitted had suffered child
abuse, emotional abuse or psychological abuse. Each
bogus claim submitted by Swanson sought reimbursement
for multiple 15-minute segment counseling sessions,
falsely representing that the duration of each session
had been no less than one hour and as long as two hours.
Rebecca Swanson admitted that a result of the fraudulent claims she submitted through LSTF, Medicaid paid a total of $373,810.65 to LSTF. Swanson admits using these funds for her own personal use.
U.S. Attorney Roper praised the excellent investigative
work of Texas Attorney General Greg Abbott's Office
- Medicaid Fraud Unit and said, "These cases
are the culmination of a thorough investigation conducted
by General Abbott's Medicaid Fraud Unit and the
FBI. Our cooperative efforts with the Attorney
General's office are crucial to ferreting out
and prosecuting these types of cases." Roper
continued, "These prosecutions should serve as
a warning to all who would attempt to defraud our state's
Medicaid system that we will find them and they will
pay the price."
The case is being prosecuted by Assistant U.S. Attorney Katherine Miller.
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