March 22, 2022
Las Vegas, NV – Today,Nevada Attorney General Aaron
D. Ford announced that Kelly Addam Gersting, 51, of Las Vegas, was sentenced in
a Medicaid fraud case involving billing for services that were not provided to
Medicaid recipients.
Kelly
Addam Gersting was sentenced for a Gross Misdemeanor offense of Intentional
Failure to Maintain Adequate Records by District Court Judge Christy Craig.
Judge Craig sentenced Gersting to 364 days in jail, suspended, and placed him
on probation for one year. As part of the
sentence, Gersting was also ordered to pay $42,510 in restitution. The billing occurred between April 2015 and April
2019.
“Billers are key
personnel in ensuring the integrity and accuracy of claims submitted by Nevada
providers to Medicaid,” said AG Ford. “My office will continue to prosecute
dishonest billers for submitting false claims and misappropriating taxpayer
funds.”
The investigation began after the MFCU received
a complaint from employees of a Rehabilitative Mental Health (“RMH”) services Medicaid
provider that the company was billing for services while the provider was
traveling out of Las Vegas. The investigation revealed that defendant, as the
biller of the company, submitted claims for RMH services allegedly provided by
Ingrid Sanchez (“Sanchez”) during times when Sanchez was traveling out of the
United States and could not have provided the RMH services to the Medicaid
recipients in Nevada.
The MFCU investigates and prosecutes financial
fraud by those providing healthcare services or goods to Medicaid patients. The
MFCU also investigates and prosecutes instances of elder abuse or neglect. The
Nevada MFCU receives 75% of its funding from the U.S. Department of Health and
Human Services under a grant award. The remaining 25% is funded by the State of
Nevada, MFCU. Persons convicted of Medicaid fraud may also be administratively
excluded from future Medicaid and Medicare participation. Anyone wishing to
report suspicions regarding any of these concerns may contact the MFCU at
702-486-3420 or 775-684-1100.
The case
was prosecuted by Steve Sidhu, Senior Deputy Attorney General.
The
criminal indictment can be viewed here. To file a complaint with the
Office of the Nevada Attorney General, click here.
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