Articles Posted in Kickbacks

Photobucket MIAMI, FLORIDA (AUGUST 4, 2011) – A former convicted drug trafficker who served five years now stands accused of defrauding Medicare of more than $11 million through his Miami-Dade home health care agency. Luis Alejandro Sanz billed Medicare for treatment to supposed diabetics who did not suffer from the disease or need home care nurses to inject insulin.

Sanz and his wife, Elizabeth Acosta Sanz, are charged with conspiring to commit health care fraud and money laundering. The pair were also charged with paying kickbacks to recruiters who provided the couple’s agency, Ideal Home Health, with Medicare patients. U.S. Magistrate Patrick White viewed their alleged crimes as so egregious that at their arraignment he denied the defendants’ bids for bond stating they were a flight risk.

Investigators found evidence of 40 separate bank accounts through which the couple divided the millions they received from Medicare, and still have not been able to trace all the funds received.

Justice.jpgMIAMI, FLORIDA (JULY 27, 2011) – A Miami-based patient recruiter, Vicente Guerra-Nistal, has pled guilty to one count of conspiracy to commit health care fraud before U.S. District Court Judge Joan A. Lenard.

Guerra was part of a 20-member team that scammed Medicare out of more than $25 million. The company for which Guerra worked, ABC Home Health, provided home health services and physical therapy, but the company billed for medically unnecessary services or for services that were never provided. Two physicians, Jose Nunez, M.D. and Francisco Gonzalez, M.D. were also charged in the original February 2011 indictment for prescribing the services.

For his part in the scheme, Guerra recruited participation of Medicare beneficiaries by paying kickbacks and bribes for use of Medicare billing information. As a result of Guerra’s actions, Medicare was billed $194,000. Guerra said he knew that the patients didn’t qualify for the services and that patient records had been altered in order to appear as though they did qualify.

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