MIAMI PATIENT RECRUITER PLEADS GUILTY IN $25M FRAUD

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.
Guerra’s sentencing is scheduled for October 27, 2011, and he faces a maximum of 10 years imprisonment.
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