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After the lack of an Oops, I must have made a teeny-weeny billing error defense, Newton psychologist Lionel Lyon has been ordered to pay $275,000 in restitution and damages to the Medicaid program. He will also withdraw permanently as a Medicaid provider. He agreed to this in return for being allowed to deny any wrongdoing and for making no admission that he or his company, The Adult and Child Consultation Center, defrauded the Medicaid program. The restitution will be split between the Medicaid program ($239,953) and the four affected school districts.
Lyon was responsible for administering a comprehensive battery of tests to determine if a student had a special need. In such cases, the psychologist’s findings are critical in assessing the benefits of various educational plans designed to maximize a child’s learning potential. Lyon received compensation for his services from Medicaid if the child was an eligible recipient or if the school system requested the evaluation. The AG’s office alleged that Lyon’s reimbursement records from the school systems and Medicaid indicate that he double-billed and that he billed for an excessive number of tests per day.
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