| Columns |

Miami Therapist Gets Nine Years For His Role In $63 Million Medicare Scam

Keep New Times Free
I Support
  • Local
  • Community
  • Journalism
  • logo

Support the independent voice of Miami and help keep the future of New Times free.

In the capital of medicare fraud, Miami therapist Paul Thomas Layman and his cohorts pulled off a doozy of a heist, stealing $63 million from the federal government through bogus mental health services. Now Layman will spend the next nine years in federal prison following his sentencing hearing yesterday. The case against Layman shows how south Florida is ground zero for the nation's booming medicare fraud racket.

The 66-year-old former health clinic director, who pleaded guilty in March, worked at now defunct health provider Health Care Solutions Network Inc, or HCSN. He was a substance abuse counselor, therapist and clinical director of HCSN's Partial Hospitalization Program, which provides intensive treatment for severe mental illness.

See also:

- South Florida Is Ground Zero for Medicare Fraud

Layman worked at three community mental health centers owned by HCSN of Florida. According to court documents, Layman was aware that HCSN-FL paid illegal kickbacks to owners and operators of Miami-Dade County assisted living facilities in exchange for patient referral information that was used to submit false and fraudulent claims to Medicare and Medicaid. Layman also knew that many of the ALF referral patients were ineligible for PHP services because many patients suffered from mental retardation, dementia and Alzheimer's disease.

Layman was aware that HCSN-FL personnel were fabricating patient medical records, federal prosecutors alleged. Many of these medical records were created weeks or months after the patients were admitted to HCSN-FL for purported PHP treatment and were utilized to support false and fraudulent billing to government sponsored health care benefit programs, including Medicare and Florida Medicaid. During his employment at HCSN-FL, Layman signed fabricated PHP therapy notes and other medical records used to support false claims to government sponsored health care programs.

According to court documents, from 2004 through 2011, HCSN billed Medicare and the Florida Medicaid program approximately $63 million for purported mental health services.

Follow Francisco Alvarado on Twitter: @thefrankness.

Follow Miami New Times on Facebook and Twitter @MiamiNewTimes.

Keep Miami New Times Free... Since we started Miami New Times, it has been defined as the free, independent voice of Miami, and we would like to keep it that way. Offering our readers free access to incisive coverage of local news, food and culture. Producing stories on everything from political scandals to the hottest new bands, with gutsy reporting, stylish writing, and staffers who've won everything from the Society of Professional Journalists' Sigma Delta Chi feature-writing award to the Casey Medal for Meritorious Journalism. But with local journalism's existence under siege and advertising revenue setbacks having a larger impact, it is important now more than ever for us to rally support behind funding our local journalism. You can help by participating in our "I Support" membership program, allowing us to keep covering Miami with no paywalls.

We use cookies to collect and analyze information on site performance and usage, and to enhance and customize content and advertisements. By clicking 'X' or continuing to use the site, you agree to allow cookies to be placed. To find out more, visit our cookies policy and our privacy policy.


Join the New Times community and help support independent local journalism in Miami.


Join the New Times community and help support independent local journalism in Miami.