Corporate Compliance

Two Miami-area residents plead guilty in $25 million healthcare fraud scheme

Compliance Monitor, September 28, 2011

On September 26 two Miami-area residents pleaded guilty in U.S. District Court in Miami for their participation in a $25 million home health Medicare fraud scheme, according to the Department of Justice.

Maritza Vidal, 44, and Richard Diaz, 26, each pleaded guilty before U.S. District Judge Joan A. Lenard to one count of conspiracy to commit healthcare fraud. The scheme was to bill the Medicare program for expensive physical therapy and home healthcare services that were prescribed by doctors but were medically unnecessary and never provided.

According to court documents, ABC Home Health Inc. and Florida Home Health Providers Inc., two related Miami home healthcare agencies, purported to provide home health and therapy services to Medicare beneficiaries.

However, court documents indicate the agencies only existed as part of the scheme to defraud Medicare. From approximately January 2006 until approximately March 2009, Vidal worked for ABC and Florida Home Health as a registered nurse and patient recruiter while Diaz worked for Florida Home Health as a patient recruiter.

Read the full story on the Justice Department website.

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