Occupational Therapy Assistant Sentenced For Medicare And Medicaid Fraud
Tampa, FL - United States Attorney Robert E. O'Neill announces today that United States District Judge Elizabeth A. Kovachevich sentenced Patrick Timothy Crisler (46, Inverness) to 30 months in federal prison for defrauding Medicare and Medicaid. The court also ordered Crisler to forfeit $455,537.30, which are proceeds traceable to his offense.
Crisler pled guilty on March 5, 2012.
According to court documents, Crisler, an occupational therapy assistant and owner of Active Life Rehab, Inc., was charged with health care fraud and aggravated identity theft for submitting fraudulent claims of more than $1 million to the Medicaid program. The claims submitted were for occupational therapy services that were either not provided at all, or not provided as billed to Medicaid.
Specifically, Crisler falsified patient records and knowingly engaged in "upcoding" by using the unauthorized Medical Provider Numbers of other licensed occupational therapists to submit claims to Medicaid for payment to Active Life Rehab. Crisler also submitted false claims to Medicare. In total, he billed or caused Medicaid and Medicare to be billed approximately $1.5 million. Crisler received $455,537.30 in unwarranted payments, as a result of his fraudulent scheme.
This case was investigated by the Tampa Bay Medicare Fraud Strike Force, which is charged with investigating fraudulent claims to the Medicare, Medicaid, and other health insurance programs. It comprises agents from the Tampa Regional Office of the Department of Health and Human Services, Office of the Inspector General (HHS-OIG), the Federal Bureau of Investigation (FBI), the Florida Attorney General’s Medicaid Fraud Control Unit (MFCU), Florida Department of Law Enforcement (FDLE), and the Defense Criminal Investigative Service Office of Investigations. This case was prosecuted by Assistant United States Attorneys Kelley C. Howard-Allen and Mandy Riedel.