Corporate Compliance

Miami man pleads guilty to $123M Medicare fraud scheme

Compliance Monitor, August 19, 2009

Reinaldo Guerra, owner and operator of 11 durable medical equipment (DME) companies, pled guilty to one count of conspiracy to commit Medicare fraud and one count of Medicare fraud, according to a Department of Justice (DOJ) release.
Guerra’s companies billed Medicare for approximately $123 million dollars worth of DME that had not been prescribed or ordered by a physician nor delivered to Medicare beneficiaries. Medicare paid the companies approximately $35 million as a result of the false claims.

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