Corporate Compliance

News: Detroit-area clinic owner sentenced to prison for Medicare fraud

Compliance Monitor, August 31, 2011

An owner of three Detroit-area clinics was sentenced to four years in prison August 25 attempting to defraud Medicare of more than $15 million, according to a press release from the US Department of Justice.

Jose Rosario, 54, was sentenced to three years of supervised release and ordered to pay $10.7 million in restitution.

In September 2006, Rosario and a co-defendant at Sacred Hope Medical Center Inc. routinely billed Medicare for services that were medically unnecessary and/or never provided. Rosario said he knew the clinic purchased only a small fraction of the medications it billed to Medicare and admitted to hiring co-conspirators to falsify the medical files to make the treatments provided at Sacred Hope appear legitimate, according to federal officials.

Read more on the Department of Justice website.


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