Corporate Compliance

Medicare fraud fugitive pleads guilty to $10.9M scheme

Compliance Monitor, August 11, 2010

A two-year fugitive pleaded guilty in U.S. District Court in Miami for his participation in submitting approximately $10.9 million in fraudulent claims for HIV treatments, according to a Department of Justice (DOJ) press release.

Jose Garcia, 55, surrendered himself to FBI agents after being on the lam since 2008. Garcia operated Global Med-Care Corp. Inc., a purported HIV infusion clinic. Garcia, with co-defendants, allegedly submitted false claims to Medicare for medically unnecessary treatments or treatments that Global physicians never provided. Garcia admitted the he knew Global paid kickbacks to its patients, according to the DOJ.

Garcia faces 5 years in prison for the false claims and kickback conspiracy charges and a 10 year sentence for health care fraud conspiracy.

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