Corporate Compliance

Nurse pleads guilty to Medicare fraud

Compliance Monitor, February 1, 2012

Jorge Pineiro, a registered nurse in Miami who worked for ABC Home Health Care Inc. and Florida Home Health Care Providers, Inc., pleaded guilty to one count of conspiracy to commit healthcare fraud, according to a January 24 Department of Justice press release.

Court documents indicate that between June 2008 and March 2009, Pineiro submitted nursing notes with non-existent symptoms such as tremors, impaired vision, and inability to walk without assistance for Medicare beneficiaries. Pineiro was aware that these beneficiaries did not have these symptoms and did not receive the bill for services. Medicare was billed approximately $118,000 as a direct result of these filed claims.

Pineiro is scheduled for sentencing in April and faces a maximum prison sentence of 10 years in addition to fines and supervised release.

Read more on the OIG website.

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