Corporate Compliance

Husband and wife plead guilty to HIV infusion fraud scheme

Compliance Monitor, July 28, 2010

A Miami couple pleaded guilty in U.S District Court for a $13.7 million HIV infusion Medicare fraud scheme, according to a Department of Justice (DOJ) press release.

Modesto de la Vega, 59, owned and operated T&R Rehabilitation Professional Corp. (T&R), a clinic that purported to supply expensive injection and infusion treatments. Modesto’s wife, Victoria de la Vega worked as an office assistant at T&R. The couple admitted to offering patients kickbacks designed to persuade them to receive medically unnecessary services or services that T&R never provided, according to the DOJ.

Between January 2003 and July 2005, the de la Vega’s submitted approximately $13.7 million in fraudulent claims, which Medicare paid approximately $4.1 million. The couple faces sentencing November 5.

Most Popular