DeKalb counselor charged with Medicaid fraud in massive national case

U.S. Attorney Byung J. “BJay” Pak in a file photo. HYOSUB SHIN / HSHIN@AJC.COM
U.S. Attorney Byung J. “BJay” Pak in a file photo. HYOSUB SHIN / HSHIN@AJC.COM

A Decatur counselor was ensnared in a massive nationwide federal case of health care fraud resulting in the arrests of nearly 600 people, the U.S. Attorney’s Office in Atlanta announced Thursday.

Many of those charged in the cases were accused of inappropriately prescribing opioids. Others, like the Decatur defendant, are accused of health care fraud schemes that all together total $2 billion.

Rosa Fitzhugh ran Casa Luisa on Flat Shoals Parkway and, according to the authorities, fraudulently billed Medicaid funded care management organizations for services that weren’t provided or otherwise not eligible for billing.

The company’s site says it offers a variety of services: “These include, but are not limited to counseling and mentoring services, specific language translation services, homeowner assistance, utility assistance, tutorial assistance.”

The alleged scheme, resulting in more than $2.4 million in fraudulent billing, is said to have taken place between January and October 2017.

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“Health care fraud steals valuable resources from individuals who are most in need of the funds that support medical services and programs,” said U. S. Attorney Byung J. Pak. “We will continue to focus our efforts on aggressively investigating and prosecuting medical professionals and others who defraud our healthcare system.”

It isn’t clear if the counselor is in custody yet. A call to the business wasn’t answered.

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