Corporate Compliance

Three plead guilty to $6.5M Medicare fraud scheme

Compliance Monitor, September 8, 2010

Three people pleaded guilty in U.S. District Court in Georgia to their roles in a $6.5 million Medicare fraud scheme, according to a Department of Justice (DOJ) press release.

Alfredo Rasco, 51, and Niurka Rasco, 49, both from Miami, and Iris Oswald, 54, from Georgia, and others, operated a sham medical clinic, United Therapy in Savannah, GA. The three lured Medicare beneficiaries, mostly those afflicted with HIV or AIDS, to United with free food, transportation, and gift cards, according to the DOJ. The defendants then used patients’ Medicare information to submit phony claims to Medicare for infusion services that were never provided.

The guilty pleas came mid-trial, seconds before the scheduled start of the government’s case. Each defendant faces up to twelve years in prison and fines of up to $500,000.

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