Corporate Compliance

Two Miami physicians admit to participation in HIV infusion scheme

Compliance Monitor, September 17, 2008

On September 11, Miami physicians Carlos Contreras, M.D., and Ramon Pichardo, M.D., each pleaded guilty to defrauding Medicare in connection with a $6.8 million HIV infusion fraud scheme, according to a Department of Justice (DOJ) press release.
 
Contreras, owner of CNC Medical Inc. (CNC), a Miami clinic that specializes in treating HIV positive patients, admitted he conspired with Carlos Benitez, Luis Benitez, Thomas McKenzie, Pichardo, and others to operate CNC as a fraudulent HIV infusion clinic.
 
Contreras admitted from November 2002 to April 2004, CNC submitted bills for unnecessary procedures to Medicare that totaled $6.8 million and the clinic received $4.2 million in reimbursement. The Benitez brothers received a share of the profits for their role, which included referring HIV positive Medicare beneficiaries to CNC.
 
The Benitez brothers are fugitives. They were indicted June 11 for a massive infusion and money laundering scheme that allegedly defrauded $110 million from the Medicare program through similar arrangements with at least 11 South Florida infusion clinics.
 
To read the full DOJ press release click here

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