Dubois Man Accused of Medicaid Fraud
Dubois– Charges have been submitted versus a DuBois guy implicated of Medicaid scams.
Shawn David Chesley, 33, was charged with a felony count of false/fraud medical help claim, a felony count of theft by deceptiveness and a misdemeanor count of forgery by a representative of the Pennsylvania Attorney General’s workplace after a grand jury examination.
His initial hearing is set up for central court on Friday at 10 a.m.
. According to court files, Chesley, a behavioral professional expert, was used by NHS, a company that serves kids and grownups with psychological health medical diagnoses.
He supposedly had NHS costs the medical support program for services he did not supply and for which he was then paid. This position needs a Master’s degree and licensure by the state.
The job is to prepare treatment strategies based upon mental examinations for kids with either autism or attention deficit condition.
He was needed to consult with the kids and their parents at least two times a month.
A quality assurance professional observed that the documentation Chesley was sending did not consist of any matching documents, such as encounter types, treatment strategies or 30-day evaluations.
After she started looking at his work more carefully, she found that he was sending “brand-new” treatment strategies that were precisely the like the last strategies.
He then billed for upgrading the treatment strategy. A few of the documents did not have the necessary parent signatures and others were signed by somebody else or the signature was created, according to testament.
When the households were called, a lot of them stated they just saw Chesley one or two times and validated the signatures were phony.
A few of the parents had questioned why Chesley was not offering treatment to their child and was informed by him that they were getting the services at school.
Educators then verified they had not seen him more than a couple of times. Supposedly, the instructor signatures on these types were in some cases either unreliable or misspelled.
Chesley was a service worker that was spent for the work he carried out, therefore, the more work he did, the more he was paid.
In all in between September of 2014 and February of 2015, Medicaid and other insurance coverages were billed for more than $15,000. Chesley himself got more than $8,500 for services that he supposedly never ever offered.