Corporate Compliance

Florida woman defrauds Medicare of 5.7 million

Compliance Monitor, October 28, 2009

A U.S. district judge sentenced a Florida woman to 57 months in prison for her role in defrauding Medicare of $5.7 million, according to a Department of Justice (DOJ) release. Maria F. Hernandez, 62, pled guilty to healthcare fraud conspiracy after an FBI investigation established that Hernandez submitted fraudulent claims for durable medical equipment (DME).
 
Hernandez and her co-conspirators controlled three separate DME companies that received approximately $1.9 million based on false claims for DME items that were never prescribed or delivered to Medicare patients.
 
According to the DOJ, Hernandez received as much as $30,000 per month from her scheme.

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