For Immediate Release
August 26, 2009
Assistant Attorney General Philip Bradley
Attorney General Michael A. Delaney announces that Dr. Anton A. Heins, III, age 63, of Amherst, has pleaded guilty in Merrimack County Superior Court to one count of unsworn falsification, a class A misdemeanor, for submitting a false claim to the State's Medicaid program. Dr. Heins specialized in treating drug addiction patients with Subutex and Suboxone. The charge was based on evidence that he double billed for initial consultations, by collecting the full fee from the patient and also billing Medicaid. Upon pleading guilty, Dr. Heins was sentenced to pay a $2,000 fine, $1,600 in restitution to Medicaid, and serve 30 days in the Merrimack County Jail, with another 5 months of suspended jail time.
As part of a separate civil settlement, Dr. Heins agreed to refund $300 each to approximately 50 Medicaid beneficiaries for charging them privately instead of the Medicaid program for initial consultations. He further agreed to repay $25,000 to the Medicaid program for using an incorrect procedure code when billing for hundreds of time-based office visits. Dr. Heins will also be withdrawn as a Medicaid provider.
Attorney General Michael A. Delaney said: "This case involved a breach of the public trust. The Medicaid program depends on the honesty and integrity of healthcare providers. It serves the needy and its limited funds will be protected by vigorous prosecution of those who engage in fraudulent conduct like double billing." The case was prosecuted by the Medicaid Fraud and Patient Abuse Unit, which investigates both healthcare provider fraud and allegations involving the financial exploitation and physical abuse of long-term care residents.
New Hampshire Department of Justice | 33 Capitol Street | Concord, NH | 03301