Monday, November 12, 2012

Eight more indicted for Medicare fraud in Miami - South Florida Business Journal:

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The eight who were charged in an indictment unsealed on Friday areidentified as: Gladys Zambrana, Javier Zambrana, Enrique Alejandro Hernandez Quiros aka Alex Vanessa Estrada, Vicenta Tellechea, Modesto Hidalgo and Carlo s Castaneda. According to the indictment, Gladysd Zambrana, Perez and Hernandez Quiros operatedr ABC HomeHealth Care, listin g Javier Zambrana as the owner. Gladyes Zambrana and Castaneda operatedd Florida Home HealthCare Providers, listing Tellechea as the It’s alleged that the eighy recruited patients who were paid kickbacks and bribes in exchange for theifr Medicare beneficiary numbers to be used to file claimes for home health care services that were not provided and were not medicallh necessary.
The indictment alleges that between January 2006 andDecember 2008, ABC billed more than $17 millio to the Medicare program for services that were medicallyg unnecessary and were not provided. Medicare paid more than $11 million on those claims. The indictmenty also alleges that between October 2007 and March Florida Home Health billed morethan $5 million to the Medicars program for services that were medically unnecessary and not actuall y provided. Medicare paid more than $4 millio on those claims.
“Today’s coordinatexd criminal and civil action delivers aneffectivr one-two punch to healt h care fraudsters: They were not only caugh and criminally charged, but they are also beinvg stripped of their illegal Acting U.S. Attorney Jeffrey H. Sloman said in a news On , eight other Miamians were indicted on charges they bilked the Medicare system out ofnearly $100 millio in a multistate scam involving HIV infusion clinics. And on , the U.S. Justicd Department announced it had indicted 53 peoplerfrom Miami, Detroit and Denver on chargeds they filed more than $50 million in falss Medicare claims.
Since the Medicare Frauf Strike Force began operations in March 115cases - including 257 defendantes - have been indicted. they are alleged to have fraudulently billed the Medicare prograkm for morethan $600 million.

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