Corporate Compliance

Medicare fraud lands two Florida men in jail

Compliance Monitor, April 2, 2008

Two Florida men will spend time in jail for their roles in separate Medicare fraud schemes, according to a Department of Justice (DOJ) press release.

Juan Carlos Castaneda, 43, the owner and operator of a Miami pharmacy, will spend 63 months in prison after pleading guilty to conspiring to pay kickbacks to 72 owners of durable medical equipment (DME) companies in exchange for compounded aerosol medication prescriptions. According to the DOJ, Castaneda received more than $4.5 million from Medicare and paid just over $2 million in kickbacks.

Jorge Novoa, 71, the owner and operator of a Miami DME company, was sentenced to 56 months in prison for conspiring to defraud Medicare through fraudulent claims and kickbacks. Novoa pled guilty to obtaining Medicare cards and personal information from Medicare beneficiaries in order to submit fraudulent claims for unnecessary medical equipment and aerosol medications. According to the DOJ, Novoa paid Zabdy Westerburger, MD, to provide the fraudulent prescriptions.

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