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\nDecember 19, 2013
Health Care Clinic Owner Sentenced for Role in $7 Million Medicare Fraud Scheme
The owner of a Miami home health care company was sentenced to serve 235 months in prison today for her participation in a $7 million health care fraud scheme involving defunct home health care company Anna Nursing Services Corp. Dora Moreira, 46, was sentenced by U.S. District Judge Jose E. Martinez in the Southern District of Florida. In addition to her prison term, Moreira was sentenced to serve three years of supervised release and ordered to pay $6,928,931 in restitution.
December 18, 2013
South Florida Man Pleads Guilty for Role in $10.5 Million Medicare Fraud Scheme
A south Florida man has pleaded guilty today for his role in a $10.5 million Medicare fraud scheme involving physical and occupational therapy services. Luis Alberto Garcia Perojo, 42, pleaded guilty in the U.S. District Court for the Middle District of Florida to conspiring to commit health care fraud. He faces a maximum penalty of 10 years in prison, and his sentencing will be scheduled at a later date.
December 12, 2013
Two Patient Recruiters for Miami Home Health Companies Sentenced for Roles in $48 Million Health Care Fraud Scheme
Two patient recruiters for Miami health care companies were sentenced today for their participation in a $48 million home health Medicare fraud scheme.
December 12, 2013
Therapist Pleads Guilty in Miami for His Role in $63 Million Health Care Fraud Scheme
A former licensed mental health counselor at the defunct health provider Health Care Solutions Network Inc. (HCSN) pleaded guilty today in Fort Lauderdale, Fla., for his role in a $63 million health care fraud scheme.
December 4, 2013
Miami Home Health Company Owner and Recruiter Sentenced for Role in $48 Million Health Care Fraud Scheme
A patient recruiter of a Miami health care company was sentenced to serve 108 months in prison today for his participation in a $48 million home health Medicare fraud scheme.
November 6, 2013
Patient Broker of South Florida Psychiatric Hospital Sentenced for Role in $67 Million Health Care Fraud Scheme
A patient broker of a South Florida psychiatric hospital was sentenced today to serve 24 months in prison followed by three years of supervised release for her participation in a $67 million Medicare fraud scheme.
November 6, 2013
Former Mental-Health Clinic Therapist Sentenced for Role in $55 Million Medicare Fraud Scheme
A former therapist for Biscayne Milieu, a Miami-based mental-health clinic, was sentenced today to serve 120 months in prison for his participation in a $55 million Medicare fraud scheme.
November 5, 2013
Orlando, Fla., Area Hospice to Pay $3 Million to Resolve Allegations That It Billed Medicare for Patients Not Terminally Ill
Hospice of the Comforter Inc. (HOTCI) has agreed to pay $3 million to resolve allegations that it violated the False Claims Act by submitting false claims to the Medicare program for hospice services provided to patients who were not eligible for the Medicare hospice benefit, the Justice Department announced today.
August 19, 2013
Shands Healthcare to Pay $26 Million to Resolve Allegations Related to Inpatient Stays at Six Florida Hospitals
Shands Teaching Hospital & Clinics Inc., Shands Jacksonville Medical Center Inc. and Shands Jacksonville Healthcare Inc., which operates a network of health care providers in Florida, will pay the government and the state of Florida a total of $26 million to settle allegations that six of its health care facilities submitted false claims to Medicare, Medicaid and other federal health care programs for inpatient procedures that should have been billed as outpatient services.
July 25, 2013
Health Care Clinic Director Sentenced for Role in $63 Million Health Care Fraud Scheme
A former health care clinic director and licensed clinical psychologist at defunct health provider Health Care Solutions Network Inc. (HCSN) was sentenced today in Miami to serve 135 months in prison for her central role in a fraud scheme that resulted in more than $63 million in fraudulent claims to Medicare and Florida Medicaid.
July 19, 2013
U.S. Intervenes in False Claims Act Lawsuit against Fla. Home Health Care Company and Its Owner
The government has intervened in a whistleblower lawsuit against A Plus Home Health Care, Inc., a home health care company in Fort Lauderdale, Fla., and its owner, Tracy Nemerofsky, the Justice Department announced today. The government alleges that A Plus offered referring physicians' spouses sham marketing positions with the company to induce the physicians to refer Medicare patients for home health care services.
July 16, 2013
Florida Health Care Medical Director and Six Therapists Arrested for Alleged Roles in $63 Million Fraud Scheme
The former medical director at defunct health provider Health Care Solutions Network (HCSN) and six therapists were arrested today, accused of conspiring to fraudulently bill Medicare and Florida Medicaid more than $63 million.
July 16, 2013
Florida Health Care Medical Director and Six Therapists Arrested for Alleged Roles in $63 Million Fraud Scheme
The former medical director at defunct health provider Health Care Solutions Network (HCSN) and six therapists were arrested today, accused of conspiring to fraudulently bill Medicare and Florida Medicaid more than $63 million.
July 8, 2013
Supervisor of $63 Million Health Care Fraud Scheme Sentenced in Florida to 10 Years in Prison
A former supervisor at defunct health provider Health Care Solutions Network Inc. (HCSN) was sentenced today in Miami to serve 10 years in prison for her central role in a fraud scheme that resulted in more than $63 million in fraudulent claims to Medicare and Florida Medicaid.
June 20, 2013
Straw Owner of Venice Physical Therapy Clinic Pleads Guilty to Conspiracy to Commit Health Care Fraud
United States Attorney Robert E. O'Neill announces that Roberto Fernandez Gonzalez (63, Naples) pleaded guilty today to conspiracy to commit health care fraud. Gonzalez faces a maximum penalty of 10 years in federal prison
May 14, 2013
Twenty-Four South Florida Residents Charged as Part of Nationwide Coordinated Takedown by Medicare Fraud Strike Force Operations
Twenty-four (24) South Florida residents were charged for their alleged participation in various schemes to defraud Medicare out of more than $45,299,935 million. The charges in South Florida are part of a nationwide takedown by Medicare Fraud Strike Force operations in eight cities that resulted in charges against 89 individuals, including doctors, nurses and other licensed professionals, for their alleged participation in Medicare fraud schemes involving approximately $223 million in false billings.
May 8, 2013
Administrator and Employee of Miami Home Health Companies Pleads Guilty for Role in $74 Million Health Care Fraud Scheme
A Miami resident who was an administrator of a home health care company and was the employee of another home health care company pleaded guilty today for her participation in a $74 million home health Medicare fraud scheme.
May 8, 2013
Administrator and Employee of Miami Home Health Companies Pleads Guilty for Role in $74 Million Health Care Fraud Scheme
A Miami resident who was an administrator of a home health care company and was the employee of another home health care company pleaded guilty today for her participation in a $74 million home health Medicare fraud scheme.
May 7, 2013
Health Care Clinic Director Pleads Guilty in Miami for Role in $63 Million Fraud Scheme
A former health care clinic director and licensed clinical psychologist pleaded guilty today in connection with a health care fraud scheme involving defunct health provider Health Care Solutions Network Inc. (HCSN).
April 5, 2013
Miami-Based Health Care Clinic and Its Owners and Operators Sentenced for $50 Million Fraud Scheme
Antonio Macli, Jorge Macli, and Sandra Huarte, were each sentenced to serve 360, 300 and 262 months in prison, respectively and three years of supervised release.
March 15, 2013
Two Medicare Beneficiaries Found Guilty Of Soliciting Kickbacks In Home Health Care Case
Rene Suarez-Basanta and Marta Gonzalezwere found guilty of charges related to Medicare fraud.
March 15, 2013
Medical Director for Miami-Based Health Care Clinic Sentenced to 144 Months in Prison
Dr. Gary Kushner sentenced for his role in a fraud scheme involving the submission of more than $50 million in fraudulent billings to Medicare.
March 7, 2013
Health Care Clinic Director Pleads Guilty for Role in $63 Million Health Care Fraud
Paul Thomas Layman and Dana Gonzalez committed fraud while working for now defunct Health Care Solutions Network Inc. (HCSN).
February 28, 2013
Owners of Miami Home Health Companies Sentenced to Prison in $48 Million Health Care Fraud Scheme
Rogelio Rodriguez was order to pay $33 million in restitution and Raymond Aday to pay $2.1 million in restitution along with $100,000 fines each.
February 25, 2013
Owner of Mental Health Facilities Sentenced to 168 Months in Prison in Connection with $63 Million Health Care Fraud
Armando Gonzalez was also sentenced with three years of supervised release and ordered to pay over $28 million in restitution.
February 25, 2013
Miami Pharmacy Owner Sentenced to 14 Years in Prison in $23 Million Health Care Fraud
Jose Carlos Morales was also sentenced to serve three years of supervised release and to pay a $100,000 fine.
February 11, 2013
Former Registered Nurse from Florida and North Carolina gets 111 Months in Prison for $63 Million Mental Health Care Fraud Scheme
John Thoen was also sentenced to 3 years supervised release for fraudulent billing in both states.
February 11, 2013
Florida Physician to Pay $26.1 Million to Resolve False Claims Allegations
Steven J. Wasserman has agreed to pay $26.1 million for accepting illegal kickbacks from a pathology laboratory and billing the Medicare program for medically unnecessary services.
February 4, 2013
Two Patient Recruiters of Miami Home Health Company Plead Guilty in $20 Million Health Care Fraud
Manuel Lozano and Vladimir Jimenez would recruit patients, for which Serendipity Home Health could bill Medicare, in exchange for kickbacks and bribes.
January 28, 2013
Miami-Area Therapist Sentenced to Prison in Florida in $205 Million Community Mental Health Fraud Scheme
Nichole Eckert, former therapist at the mental health care company American Therapeutic Corporation (ATC), was sentenced 48 months in prison, three years of supervised release and ordered to pay more than $72 million in restitution.
January 25, 2013
Former Program Director and Marketers Sentenced to Prison in Florida in $205 Million Community Mental Health Fraud Scheme
Lydia Ward,the former program director, and Hilario Morris and Sandra Jimenez, former marketers were sentenced to prison, supervised release and ordered to pay more than $136.8 combined restitution.
January 24, 2013
Four Sentenced to Prison in Florida Community Mental Health Center Case
Serena Joslin,Raymond Rivero, Daniel Martinez, and Ivon Perez, had previously pleaded guilty to conspiracy to violate the anti-kickback statute which caused Medicare and the Florida Medicaid program to be charged with $63 million.
January 23, 2013
Former Miami Clinic Director Sentenced to 70 Months in Prison for Role in $26.2 million HIV Infusion Fraud Scheme
Enrique Gonzalez was also sentenced to three years of supervised release and ordered to pay $17,590,896 in restitution to HHS.
January 3, 2013
Florida-Based American Sleep Medicine to Pay $15.3 Million for Improperly Billing Medicare and Other Federal Healthcare Programs
In addition to the $15.3 million payment, American Sleep entered into a five-year Corporate Integrity Agreement that requires enhanced accountability and wide-ranging monitoring activities.