The following is a news release from the U.S. Attorney’s Office (Idaho).
BOISE – U.S. Attorney Josh Hurwit announced that KA Health Services (KA Health) and its owner, Khalid Ameri, paid $321,576.51 to resolve allegations that they knowingly submitted or caused the submission of false claims to Medicaid for psychotherapy, language interpretation, and other services. The United States contended that these submissions were false because the claimed services were never provided and/or not provided by a qualified professional.
As a result of the same investigation, licensed professional counselor Karen Canfield, 61, of Boise, consented to a judgment against her in United States District Court after admitting to violations of the False Claims Act. Canfield admitted to knowingly causing KA Health to submit false or fraudulent claims to Medicaid for reimbursement for psychotherapy, language interpretation, and other services.
According to court records, Canfield admitted that she knew that KA Health’s clients were refugees that recently arrived in the United States and were not fluent in English. Rather than treat KA Health’s clients, Canfield directed language interpreters – who were not licensed or otherwise qualified to provide psychotherapy services – to meet with the clients without Canfield being present or otherwise participating in the meeting. Canfield further admitted that she filled out their medical records in a false or fraudulent manner because those records indicated she had provided services when she was not, in fact, meeting with KA Health’s clients – much less providing them with therapy. Canfield later signed the false medical records, which she knew KA Health then used as the basis for submitting claims to Medicaid for reimbursement.