Former Employee of Eye For Change Youth and Family Services Sentenced to Prison for Fraudulent Medicaid Billing Practices
Department of Justice, Federal Bureau of Investigation (FBI), U.S. Attorney's Office, Ohio, Northern. Published January 31, 2024.
King caused Medicaid to be billed for services not performed or not performed for the time reflected in billing codes, falsified and created progress notes, and used client identities without authorization to bill Medicaid.
CLEVELAND to Eric King, 35, of Cleveland, Ohio, was sentenced today to 36 months in prison by U.S. District Judge Pamela A. Barker, U.S. Attorney Rebecca C. Lutzko announced today. King was also sentenced to 3 years of supervised release, $1,800 in special assessments, and restitution of $483,165.38.
King, a former employee of Eye For Change Youth and Family Services, Inc., a non-profit corporation in Cleveland, was previously found guilty after a jury trial of 13 counts of health care fraud, one count of false statement relating to health care matters, and five counts of aggravated identity theft.
According to court documents, trial testimony, and today’s sentencing hearing, from June 2018 through May 2021, King defrauded Medicaid by causing Medicaid to be billed for services not actually performed or for services that were not actually performed for the amount of time the billing codes reflected; for falsifying progress notes into Medicaid beneficiary electronic records; for creating false progress notes; and for using the identities of clients without authorization to bill Medicaid. As a result of King’s conduct, Medicaid paid over $483,000 for fraudulent billings.
The investigation preceding the indictment was conducted by the Cleveland Division of the FBI, the Department of Health and Human Services -- Office of the Inspector General and the Ohio Attorney General’s Healthcare Fraud Section. This case was prosecuted by Assistant U.S. Attorneys Edward D. Brydle and Brian M. McDonough, and Special Assistant U.S. Attorney Jonathan L. Metzler.