LAS VEGAS (KLAS) – A Las Vegas man has been ordered to pay $42,510 in restitution and placed on probation for a year in a Medicaid fraud case involving billing for services that were never provided from April 2015 to April 2019.
Kelly Addam Gersting, 51, was also sentenced to 364 days in jail on Tuesday, but District Court Judge Christy Craig suspended the jail sentence, according to the Nevada Attorney General’s Office.
Gersting was convicted of a felony for willfully failing to keep adequate records.
A Medicaid mental health service provider was billing for services while the provider named in the bills was out of the country. In the ensuing investigation, it was discovered that Gersting had submitted fraudulent claims in the course of his duties as a biller.
“Billers are key personnel in ensuring the integrity and accuracy of claims submitted by Nevada providers to Medicaid,” said Nevada Attorney General Aaron D. Ford. “My office will continue to prosecute dishonest billers for submitting false statements and embezzling taxpayer dollars.”
MTCU investigates and prosecutes financial fraud by those who provide health care services or goods to Medicaid patients. Individuals convicted of Medicaid fraud may be administratively barred from future participation in Medicaid and Medicare. Anyone wishing to report suspicions regarding any of these concerns can contact MTCU at 702-486-3420 or 775-684-1100.