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Louisa Thompson, $16 Million Psychotherapy Fraud, Michigan 2012

“The Medicare system is a goldmine for scam artists like Louisa Thompson, who took advantage of innocent patients and bilked the government out of $16 million.” This is a classic case of greed and deception, and we are glad to see Thompson brought to justice.”

Detroit-area resident Louisa Thompson, 63, pleaded guilty to her role in a $16 million fraud scheme, announced the FBI and the Department of Health and Human Services (HHS).

Thompson, a resident of Detroit, Michigan, pleaded guilty on October 18, 2012 before U.S. District Judge Nancy D. Edmunds in the Eastern District of Michigan to one count of conspiracy to commit health care fraud.

At sentencing, Thompson faces a maximum penalty of 10 years in prison and a $250,000 fine.

According to the plea documents, in approximately January 2006, Thompson began billing Medicare for psychotherapy services through two companies, TGW Medical Inc. and Caldwell Thompson Manor Inc. The services billed by Thompson at TGW and Caldwell Thompson were never performed or were performed by unlicensed staff who were not authorized to perform services reimbursed by Medicare.

Thompson admitted to submitting or causing to be submitted approximately $15.9 million in fraudulent psychotherapy claims on behalf of TGW, Caldwell Thompson, and P&C Adult Day Care Inc. Medicare paid approximately $4.9 million of those claims.

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