Ken Beverly and William Sellers
The alleged: Ken Beverly, former president and CEO; William Sellers, former chief financial officer
The place: John D. Archbold Memorial Hospital in Georgia
The "crime:" Helped brought to light by a whistleblower, Ken Beverly, in December 2010, was convicted of six counts related to Medicaid fraud, including falsifying records, obstructing justice, and witness tampering, reported the BainBridge Ga Community News. Archbold Memorial Hospital is a private, nonprofit hospital, but Beverly allegedly portrayed it as a public hospital to qualify for millions in additional Medicaid funds, according to the article. To cover up the scheme, Beverly conspired with the hospital's chief financial officer, William Sellers, to submit fake documents for the hospital authority. Beverly also allegedly attempted to keep Sellers quiet in exchange for protection of the CFO's retirement benefits.
The verdict: For each count, Beverly faced five to 20 years in prison with fines of $250,000 for each, according to the BainBridge article. Sellers in March pleaded guilty to falsifying hospital documents, according to a WCTV article. The hospital received $4.6 million based on false information.
The hospital in December 2010 agreed to pay $13.9 million to settle allegations that it submitted false claims to the state's Medicaid program, according to the Department of Justice. The whistleblower, Dr. Wesley Simms, was awarded $695,151 from the settlement amount.
United States Attorney for the Middle District of Georgia Michael J. Moore said in the article, "Mr. Beverly's conduct is an example of extraordinary greed. He was willing to try and fraudulently obtain money from a public program specifically designed to guarantee that those who need medical care but can't afford it have a way to receive treatment. With the crisis in our health care system this type of fraud and abuse is simply reprehensible."




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