Corporate Compliance

Miami nurse convicted of submitting false claims for insulin injections

Compliance Monitor, June 8, 2011

A federal jury found in Miami found Armando Santos, a registered nurse, guilty of five counts of healthcare fraud and two counts of making false statements related to healthcare matters, according to a Department of Justice (DOJ) press release.

A Miami-based home health care agency employed Santos to provide services to homebound Medicare beneficiaries who were diabetic, insulin dependent, and unable to inject themselves with insulin. Between June 27, 2007, and March 13, 2009, Santos completed hundreds of documents in which he claimed that he had injected Medicare beneficiaries with insulin twice a day, seven days per week.

However, at least two of the Medicare beneficiaries that the Santos claimed to inject did not need insulin and were not homebound, according to the DOJ. Santos also claimed to be treating two separate Medicare beneficiaries at the same time, evidence at the trial showed. Santos’ false statements resulted in the submission of $230,000 in false claims to Medicare for services that were either not medically necessary or not actually provided to Medicare beneficiaries.

Santos faces a maximum of 10 years in prison for each of the fraud charges, and five years for each of the false statement charges.

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