Corporate Compliance

Injection and Infusion clinic consultant convicted for role in $5.8 million Medicare fraud scheme

Compliance Monitor, May 12, 2010

U.S. District Court Judge Donald L. Graham convicted David Marrero, of Miami, of defrauding Medicare for his role in a HIV/AIDS infusion clinic fraud scheme, according to a Department of Justice (DOJ) press release.

Marrero, 49, and his wife established Tendercare Medical Center Inc., in 2004. Marrero worked as a clinic consultant and billed Medicare for expensive injection and infusion treatments that he never provided, according to the DOJ. Marrero allegedly recruited his 76-year-old aunt to be a patient at Tendercare in exchange for a portion of the funds Medicare paid to Tendercare. In her file, Marrero’s aunt was falsely listed as a HIV positive patient with multiple blood disorders.

According to the bills issued to Medicare, Marrero billed Medicare $10,000 for providing 100 units of a certain medication to his aunt during one visit. At trial, a Medicare representative testified that it was medically impossible to inject a patient with 100 units of that medication in a single office visit.

Marrero faces a maximum penalty of 10 years and a criminal fine of up to $250,000 for each count of healthcare fraud, conspiracy to commit money laundering, and money laundering when he is sentenced July 30.

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