Encompass Health Corporation Agrees To Pay $4 Million To Resolve Allegations Of Improperly Billing Medicare
LAS VEGAS – The owners of two behavioral health companies in Las Vegas were sentenced yesterday to three years’ probation for their roles in defrauding the Medicaid health care benefit program of thousands of dollars.
Erica Goodley (37) and Billy Kirby (38), both of Georgia, each pleaded guilty in January 2022 to one count of conspiracy to commit health care fraud and one count of health care fraud. In addition to the three-year term of probation, U.S. District Judge Andrew P. Gordon ordered the forfeiture of $499,440.70 from the defendants.
According to court documents, Goodley and Kirby were the owners of Endeavor Behavioral Health and International Behavioral Health. From June 2016 to February 2018, Goodley and Kirby conspired to provide false representations and omissions on applications to enroll the companies as medical providers with Medicaid. On the applications, they omitted Kirby’s 2005 gross misdemeanor conviction.
It was further part of the conspiracy that the companies fraudulently billed Nevada Medicaid for 24 hours of counseling services by a single counselor in one day and for counselors who did not exist or did not work at the companies at the time of the services. As a result of the false billing, Goodley and Kirby caused a loss of thousands of dollars from Medicaid.
Acting U.S. Attorney Christopher Chiou for the District of Nevada, Special Agent in Charge Albert Childress for the IRS-Criminal Investigation (IRS-CI), and Nevada Attorney General Aaron D. Ford made the announcement.
This case was investigated by IRS-CI and the Nevada Attorney General’s Office. Assistant U.S. Attorneys Christopher Burton and Steven Myhre prosecuted the case.