Corporate Compliance

Physicians and clinic owner arrested in HIV/AIDS infusion scheme

Compliance Monitor, June 25, 2008

A Miami clinic owner and five physicians who worked in the clinic were arrested for allegedly defrauding Medicare for over $15 million worth of costly HIV/AIDS treatments.
 
The arrests came after an investigation conducted by the Attorney General’s Medicaid Fraud Control Unit and the Federal Bureau of Investigation looked into suspicious billing patterns for Intravenous Immune Globulin (“IVIG”) medications used to treat HIV and AIDS. The clinic claimed doctors administered expensive IVIG treatments to patients three times a week. The established medical procedure recommends the medications should only be given once a month.
 
The clinic’s owner, Esther Romeu, and five licensed physicians, Walter F. Proano, Manuel Barbeite, Alejandro Enrique Casuso, Carmen Lourdes Del Cueto, and Marco Tulio Molinares, have been charged with multiple counts of conspiracy to commit healthcare fraud. Each defendant faces a maximum of 10 years in prison and a $250,000 fine on each count in which they are named.
 
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