Three Miami-area residents headed to jail for $23 million Medicare fraud scheme
Compliance Monitor, April 27, 2011
Want to receive articles like this one in your inbox? Subscribe to Compliance Monitor!
Two Miami-area medical assistants and a physician assistant will serve time in prison for their roles in a $23 million Medicare fraud scheme involving HIV infusion therapy, according to a Department of Justice (DOJ) press release.
Jose Diaz, a 62-year old physician assistant, Lisandra Aguilera, a 40-year old medical assistant, and Estrella Rodriguez, a 43-year old medical assistant, will serve 54 months, 70 months, and 57 months in prison, respectively.
According to the DOJ, Diaz, Aguilera, and Rodriguez each worked at Metro Med of Hialeah Corp. Metro Med allegedly paid cash kickback payments to Medicare beneficiaries in exchange for use of their Medicare numbers to bill Medicare for medically unnecessary services.
Want to receive articles like this one in your inbox? Subscribe to Compliance Monitor!
Related Products
Most Popular
- Articles
-
- Q/A: Volume requirement for reporting hydration services
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- HIPAA Q&A: Level of encryption needed for email
- Catch up on what's new with injections and infusions
- Identify potential Medicaid RAC target areas
- Capturing all necessary codes for IUD insertion and removal can be challenging
- Topic: CMS, OESS post new security compliance review information, checklist
- What does case-mix index mean to you?
- OB services: Coding inside and outside of the package
- Q/A: Coding infusions to correct low potassium levels
- E-mailed
-
- Q/A: Volume requirement for reporting hydration services
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- HIPAA Q&A: Level of encryption needed for email
- CMS has reformulated payments for some bilateral procedures
- Q&A: Follow CMS' coding guidelines when using modifier -25
- Understand the spine to code back procedures correctly
- What does case-mix index mean to you?
- Catch up on what's new with injections and infusions
- New conflicts of interest create new challenges
- Q/A. One injection code or two?
- Searched
