Corporate Compliance

Three Miami-area residents headed to jail for $23 million Medicare fraud scheme

Compliance Monitor, April 27, 2011

Two Miami-area medical assistants and a physician assistant will serve time in prison for their roles in a $23 million Medicare fraud scheme involving HIV infusion therapy, according to a Department of Justice (DOJ) press release.  

Jose Diaz, a 62-year old physician assistant, Lisandra Aguilera, a 40-year old medical assistant, and Estrella Rodriguez, a 43-year old medical assistant, will serve 54 months, 70 months, and 57 months in prison, respectively.

According to the DOJ, Diaz, Aguilera, and Rodriguez each worked at Metro Med of Hialeah Corp. Metro Med allegedly paid cash kickback payments to Medicare beneficiaries in exchange for use of their Medicare numbers to bill Medicare for medically unnecessary services.

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