Corporate Compliance

Florida citizens plead guilty to separate Medicare schemes

Compliance Monitor, August 11, 2010

Two Florida citizens pleaded guilty in U.S. District Court for their participation in separate Medicare fraud schemes, according to a Department of Justice (DOJ) press release.

Gladis Badia, 40, worked for T&R Rehabilitation Professional Corp., an HIV injection and infusion clinic. Badia admitted to entering false information into patient files to make it appear as if the patients required HIV treatments, when in fact they did not. Badia told the court she was aware that co-conspirators billed Medicare for HIV infusion services, which resulted in billing Medicare for more than $13.7 million, according to the DOJ.

Alain Fernandez, 47, admitted to working for Florida Home Health Providers Inc., a Miami home health agency purporting to provide services to Medicare beneficiaries. Fernandez, a licensed practical nurse, falsified patient files and billed Medicare for approximately $43,000 in false claims, according to the DOJ.

Badia and Fernandez face sentencing November 12.

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