Corporate Compliance

Detroit-area physician sentenced to 14 years in prison for Medicare fraud scheme

Compliance Monitor, August 25, 2010

A U.S. District Judge sentenced Jose Castro-Ramirez, MD, to 14 years in prison and to pay $9.4 million in restitution for his role in an $18.3 million Medicare fraud conspiracy, according to a Department of Justice (DOJ) press release.

Castro-Ramirez worked for Continental Rehab Services, Inc. and Pacific Management Services, Inc.; two purported physical and occupational therapy facilities. According to the DOJ, Castro-Ramirez falsely signed prescriptions and other documents to create fictitious therapy files indicating that he evaluated Medicare beneficiaries, when in fact he had not.

Between January 2003 and March 2007, Castro-Ramirez wrote thousands of prescriptions for patients he never treated, according to the DOJ. Castro-Ramirez also conducted, and was reimbursed for, numerous home visits that he purportedly made to Medicare beneficiaries.

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